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

Soulful Spaces Therapy PLLC

Organization Clinical Social Worker · NPI 1255174447

Soulful Spaces Therapy PLLC is a Clinical Social Worker in Edwardsville, Illinois. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1400 Eberhart Ave
Edwardsville, IL 62025-1013
Phone: (217) 871-1089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1255174447
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shyanna Kirby — Owner · (217) 871-1089
NPI enumeratedJune 14, 2024
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024
Mailing address1400 Eberhart Ave, Edwardsville, IL 62025-1013

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