Organization · Type 2 NPI

Space Boots LLC

Mental Health Counselor · Geneva, IL

NPI number 1861303679 Active

Practice location

324 W State St Ste 109
Geneva, IL 60134-2172

Call (872) 279-0362 Map

Mailing address

483 Minnesota Cir
Carol Stream, IL 60188-9217

Other practice locations

  • 483 Minnesota Cir, Carol Stream, IL 60188-9217 · (872) 279-0362

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1861303679

Space Boots LLC's National Provider Identifier is 1861303679, issued on Sep 14, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Geneva, IL. The record was last updated on Oct 7, 2026.