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

A Mindful Space Therapy and Coaching PLLC

Organization Clinical Social Worker · NPI 1487528964

A Mindful Space Therapy and Coaching PLLC is a Clinical Social Worker in Ottawa, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1476 N 3039th Rd
Ottawa, IL 61350-9032
Phone: (815) 324-2750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1487528964
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Rubio-Moore — Owner/Psychotherapist · (574) 870-1355
NPI enumeratedSeptember 30, 2025
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025
Mailing address1476 N 3039th Rd, Ottawa, IL 61350-9032

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