AGAVE STUDIO LLC NPI 1023427861

NPI Information

  • NPI: 1023427861
  • Provider Name: AGAVE STUDIO, LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 2950 W CHICAGO AVE
    SUITE 202
    CHICAGO, IL
    ZIP 60622
  • Phone: (618) 444-8801

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NPI Details

AGAVE STUDIO, LLC is a professional counselor in Chicago, IL. AGAVE STUDIO, LLC NPI is 1023427861. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2950 W CHICAGO AVE
SUITE 202
CHICAGO, IL
ZIP 60622-375
Phone: (618) 444-8801

The provider's authorized official is Amanda G Bull .
The authorized official title is Billing Director, Staff Therapist and has the following contact phone number (618) 444-8801.

The enumeration date for this NPI number is 8/6/2014 and was last updated on 8/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical071.008116ILLINOISNo
2101YP2500XCounselorProfessional180008030ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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