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Space To Be LLC

Space To Be LLC is a healthcare organization registered as Clinical Social Worker in Minneapolis, MN, holding Type 2 (organization) NPI 1689591273 since 2026. The authorized official on file is Maia Jackson, Psychotherapist.

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NPI 1689591273
Entity type Organization (Type 2)
Legal business name Space To Be LLC
Practice address 2601 HUMBOLDT AVE N, Minneapolis, MN, 55411
Phone 612-644-8390
Enumeration date 2026-07-02
Last updated in NPPES 2026-07-02

Authorized official

Name Maia Jackson
Title Psychotherapist
Phone 6126448390

Taxonomy & classification

Taxonomy code Specialty Primary License State
1041C0700X Clinical Social Worker Primary
Copy-ready billing details
Provider: Space To Be LLC
NPI: 1689591273
Taxonomy: 1041C0700X (Clinical Social Worker)
Address: 2601 HUMBOLDT AVE N, Minneapolis, MN, 55411

Verify this record

Cross-check NPI 1689591273 against the authoritative CMS record: view Space To Be LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Who is the authorized official for Space To Be LLC?
NPPES lists Maia Jackson (Psychotherapist) as the authorized official for this organization.
What is the NPI number for Space To Be LLC?
The NPI for Space To Be LLC is 1689591273, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-07-02.