YOUR THERAPY S.P.A.C.E. LLC
NPI 1265131262
Social Worker - Clinical in Chicago, IL

Active since February 28, 2023
5113 S HARPER AVE # 2079, CHICAGO, IL 60615(708) 803-2988 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Your Therapy S.p.a.c.e. Llc NPPES

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

YOUR THERAPY S.P.A.C.E. LLC (NPI 1265131262) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since February 2023. The organization lists Imani Alima Ibrahim, Owner, as its authorized official.

NPPES Registry Identity

NPI1265131262
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameYOUR THERAPY S.P.A.C.E. LLC
Location Address5113 S HARPER AVE # 2079Chicago, IL 60615-4119
Mailing Address5113 S Harper Ave # 2079Chicago, IL 60615-4119 · (708) 803-2988
Organization SubpartNo
Authorized OfficialImani Alima IbrahimOwner · (630) 429-4356
Enumeration DateFebruary 28, 2023
NPPES CertifiedFebruary 28, 2023
NPI 1265131262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedSocial WorkerTaxonomy 104100000X
5113 S HARPER AVE # 2079, Chicago, IL 60615

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

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

Social Worker (Clinical)
5113 S HARPER AVE # 2079
CHICAGO, IL 60615

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 Your Therapy S.P.A.C.E. LLC's NPI number?

The NPI number for Your Therapy S.P.A.C.E. LLC is 1265131262. It was assigned to this organization in the NPPES registry on February 28, 2023.

Where is Your Therapy S.P.A.C.E. LLC located?

Your Therapy S.P.A.C.E. LLC is located at 5113 S Harper Ave # 2079, Chicago, IL 60615. The listed phone number is (708) 803-2988.

What is Your Therapy S.P.A.C.E. LLC'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 Your Therapy S.P.A.C.E. LLC was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.