Organization Active NPI

Healing Tides Health and Wellness, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cary, NC
National Provider Identifier
1508566258
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HEALING TIDES HEALTH AND WELLNESS, PLLC
Practice address
1513 Walnut St Ste 215
Cary, NC 27511-5900
Phone
(919) 446-1302
NPI assigned
Mar 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Dr. Sara Hubbell, APRN FNP PMHNPNPI 1538166566
Title
Owner
Phone
(919) 446-1302

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1513 Walnut St Ste 215
Cary, NC 27511-5900

Mailing address

1403 Tarbert Dr
Cary, NC 27511-5030
Phone (919) 444-1502

National Provider Directory

National Provider Directory

Locations

1513 Walnut St
Ste 215
Cary, NC 27511
Phone (919) 446-1302

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": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1508566258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 TARBERT DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115030",
            "telephone_number": "919-444-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 WALNUT ST STE 215",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115900",
            "telephone_number": "919-446-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING TIDES HEALTH AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "HUBBELL",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-446-1302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN FNP PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.