Organization Active NPI

Heart and Mind Therapy and Consulting, PLLC

  • Clinical Social Worker
  • Holly Springs, NC
National Provider Identifier
1477354512
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEART AND MIND THERAPY AND CONSULTING, PLLC
Practice address
112 3Rd St Unit 164
Holly Springs, NC 27540-2006
Phone
(646) 410-3089
NPI assigned
Mar 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Asma Abu-DahabNPI 1003209214
Title
Owner
Phone
(919) 351-9498

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

112 3Rd St Unit 164
Holly Springs, NC 27540-2006

Mailing address

112 3Rd St Unit 164
Holly Springs, NC 27540-2006

National Provider Directory

National Provider Directory

Locations

112 3rd St
Unit 164
Holly Springs, NC 27540
Phone (646) 410-3089

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1477354512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 3RD ST UNIT 164",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275402006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 3RD ST UNIT 164",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275402006",
            "telephone_number": "646-410-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART AND MIND THERAPY AND CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "ABU-DAHAB",
        "authorized_official_first_name": "ASMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-351-9498"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.