Organization
A MINDFUL SPACE THERAPY AND COACHING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA CAROLINA RUBIO-MOORE LCSW (OWNER/PSYCHOTHERAPIST)
(574) 870-1355
Entity
Organization
Contact information
Practice address
1476 N 3039TH RD, OTTAWA, IL 61350-9032
(815) 324-2750
Mailing address
1476 N 3039TH RD, OTTAWA, IL 61350-9032
(815) 324-2750
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/30/2025
Last updated
12/09/2025
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