Search › Illinois › 1041C0700X
Shyanna Kirby, LCSW
NPI 1477126340 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1400 Eberhart Ave
Edwardsville, IL 62025 - Phone
- (217) 871-1089
- Organisation at this address
- Soulful Spaces Therapy Pllc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 3 Oak Dr Ste B, Maryville, IL
- 2615 Edwards St, Alton, IL
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
101Y00000X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois