NPI

A Mindful Space Therapy And Coaching Pllc

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2025-09-30
Last updated
2025-12-09

Specialties

Licenses

The registry row did not include a license.

Location

Practice location
1476 N 3039th Rd
City
Ottawa IL
Postal code
61350-9032
Phone
(815) 324-2750

Organization contact

Name
MARIA RUBIO-MOORE
Title
Owner/Psychotherapist
Phone
5748701355

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Ottawa, IL. 483 records in the public file.

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