Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Agave Studio for Psychotherapy and Spiritual Direction

Organization Counselor · NPI 1093079212

Agave Studio for Psychotherapy and Spiritual Direction is a Counselor in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
Specialties on file
3
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Practice location Address checks out

2950 W Chicago Ave #302
Chicago, IL 60622-4375
Phone: (773) 627-2112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071.008116 (IL)
Counselor Taxonomy 101Y00000X
Pastoral Counselor Taxonomy 101YP1600X

Record details

NPI number1093079212
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janeil Ruiz — Executive Director And Founder · (773) 627-2112
NPI enumeratedJuly 2, 2012
Last updated in NPPESJuly 2, 2012
Mailing address1333 N Artesian Ave # 2, Chicago, IL 60622-2935

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