Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

A Mindful Space Psychotherapy, LLC

Organization Clinical Psychologist · NPI 1851115158

A Mindful Space Psychotherapy, LLC is a Clinical Psychologist in Oakland Park, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1400 NW 41st Ct
Oakland Park, FL 33309-4520
Phone: (954) 574-2013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1851115158
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerrod Johnson — Ceo · (954) 574-2013
NPI enumeratedNovember 13, 2024
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024
Mailing address1400 Nw 41st Ct, Oakland Park, FL 33309-4520

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