Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Agave Studio for Psychotherapy and Spiritual Direction

Organization Counselor · NPI 1093079212

Agave Studio for Psychotherapy and Spiritual Direction provides Counselor services 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 Not confirmed with CMS for 14 years — call before visiting
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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