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

Kids Space LLC

Organization Community/Behavioral Health Agency · NPI 1063105724

Kids Space LLC is a Community/Behavioral Health Agency in Spring Lake Park, Minnesota. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1440 85th Ave NE Unit D
Spring Lake Park, MN 55432-1323
Phone: (612) 800-4509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1063105724
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abdusamed Hassen — Owner · (612) 800-4509
NPI enumeratedMay 30, 2023
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023
Mailing address1440 85th Ave Ne Unit D, Spring Lake Park, MN 55432-1323

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