OrganizationActive
A Mindful Space Psychotherapy, LLC
NPI 1851115158 · Clinical Psychologist · Oakland Park, FL
Provider details
- NPI number
- 1851115158
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jerrod Johnson, Ceo(954) 574-2013
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1400 Nw 41st Ct
Oakland Park, FL 33309-4520
Phone: (954) 574-2013
Approximate (ZIP-level) locationGet directions
Mailing address
1400 Nw 41st Ct
Oakland Park, FL 33309-4520
Registry dates
- Enumerated
- 2024-11-13
- Last updated
- 2024-11-13
- Certified
- 2024-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.