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AGAVE STUDIO FOR PSYCHOTHERAPY AND SPIRITUAL DIRECTION
NPI 1093079212
Psychologist - Clinical in Chicago, IL

Active since July 02, 2012
2950 W CHICAGO AVE, #302, CHICAGO, IL 60622(773) 627-2112 Get Directions Write a Review

NPPES record last updated: July 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Agave Studio For Psychotherapy And Spiritual Direction NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGAVE STUDIO FOR PSYCHOTHERAPY AND SPIRITUAL DIRECTION (NPI 1093079212) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since July 2012. The organization lists Janeil Irene Ruiz, Executive Director And Founder, as its authorized official.

NPPES Registry Identity

NPI1093079212
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameAGAVE STUDIO FOR PSYCHOTHERAPY AND SPIRITUAL DIRECTION
Location Address2950 W CHICAGO AVE, #302Chicago, IL 60622-4375
Mailing Address1333 N Artesian Ave # 2Chicago, IL 60622-2935 · (773) 627-2112
Phone(773) 627-2112
Organization SubpartNo
Authorized OfficialJaneil Irene RuizExecutive Director And Founder · (773) 627-2112
Enumeration DateJuly 2, 2012
✔ NPI 1093079212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071.008116
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · PastoralTaxonomy 101YP1600X
2950 W CHICAGO AVE, Chicago, IL 60622
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AGAVE STUDIO, LLC
Counselor (Professional)
2950 W CHICAGO AVE, SUITE 202
CHICAGO, IL 60622
Cook County (618) 444-8801
DR. JANEIL NELLIS RUIZ PSY.D.
Psychologist (Clinical)
2950 W CHICAGO AVE, SUITE 302 C
CHICAGO, IL 60622
Cook County (773) 627-2112
LISA JANE WIESE LCSW
Social Worker (Clinical)
2950 W CHICAGO AVE, SUITE 202
CHICAGO, IL 60622
Cook County (773) 632-8675
MR. BRYAN HEIDEL LCPC
Counselor
2950 W CHICAGO AVE
CHICAGO, IL 60622
Cook County (773) 569-9553
BRAVE SPACE COUNSELING & CONSULTING LLC
Social Worker (Clinical)
2950 W CHICAGO AVE
CHICAGO, IL 60622
Cook County (312) 834-3490

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agave Studio For Psychotherapy And Spiritual Direction's NPI number?

The NPI number for Agave Studio For Psychotherapy And Spiritual Direction is 1093079212. It was assigned to this organization in the NPPES registry on July 2, 2012.

Where is Agave Studio For Psychotherapy And Spiritual Direction located?

Agave Studio For Psychotherapy And Spiritual Direction is located at 2950 W Chicago Ave #302, Chicago, IL 60622. The listed phone number is (773) 627-2112.

What is Agave Studio For Psychotherapy And Spiritual Direction's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Agave Studio For Psychotherapy And Spiritual Direction was last updated on July 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.