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

Space to Be LLC

Organization Clinical Social Worker · NPI 1689591273

Space to Be LLC is a Clinical Social Worker in Minneapolis, Minnesota. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2601 Humboldt Ave N
Minneapolis, MN 55411-2041
Phone: (612) 644-8390
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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 number1689591273
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maia Jackson — Psychotherapist · (612) 644-8390
NPI enumeratedJuly 2, 2026
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026
Mailing address2601 Humboldt Ave N, Minneapolis, MN 55411-2041

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