SOULFUL SPACES THERAPY PLLC
NPI 1255174447
Social Worker - Clinical in Edwardsville, IL

Active since June 14, 2024
1400 EBERHART AVE, EDWARDSVILLE, IL 62025(217) 871-1089 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2024, Jun 14, 2024 (2 updates tracked since 2024).

About Soulful Spaces Therapy Pllc NPPES

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

SOULFUL SPACES THERAPY PLLC (NPI 1255174447) is a healthcare organization registered as a clinical in Edwardsville, Illinois and active in the NPI registry since June 2024. The organization lists Shyanna Kirby, Owner, as its authorized official.

NPPES Registry Identity

NPI1255174447
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSOULFUL SPACES THERAPY PLLC
Location Address1400 EBERHART AVEEdwardsville, IL 62025-1013
Mailing Address1400 Eberhart AveEdwardsville, IL 62025-1013 · (217) 871-1089
Organization SubpartNo
Authorized OfficialShyanna KirbyOwner · (217) 871-1089
Enumeration DateJune 14, 2024
Last NPPES UpdateJuly 12, 20242 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
NPI 1255174447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1400 EBERHART AVE, Edwardsville, IL 62025

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
1400 EBERHART AVE
EDWARDSVILLE, IL 62025

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 Soulful Spaces Therapy PLLC's NPI number?

The NPI number for Soulful Spaces Therapy PLLC is 1255174447. It was assigned to this organization in the NPPES registry on June 14, 2024.

Where is Soulful Spaces Therapy PLLC located?

Soulful Spaces Therapy PLLC is located at 1400 Eberhart Ave, Edwardsville, IL 62025. The listed phone number is (217) 871-1089.

What is Soulful Spaces Therapy PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Soulful Spaces Therapy PLLC was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.