Agave Studio, LLC
Agave Studio, LLC is a Professional Counselor in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2014.
- Licensed in
- IL
- In the registry since
- 2014
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2950 W Chicago Ave Ste 202Chicago, IL 60622-4375
Phone: (618) 444-8801
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 180008030 (IL) |
|---|---|
| Clinical Psychologist | Taxonomy 103TC0700X · Licence 071.008116 (IL) |
Record details
| NPI number | 1023427861 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amanda Bull — Billing Director, Staff Therapist · (618) 444-8801 |
| NPI enumerated | August 6, 2014 |
| Last updated in NPPES | August 12, 2014 |
| Mailing address | 2950 W Chicago Ave, Suite 202, Chicago, IL 60622-4375 |
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