Provider Demographics
NPI:1124590617
Name:MUNAY HEART CENTER COUNSELING, PLLC
Entity Type:Organization
Organization Name:MUNAY HEART CENTER COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:LEAH
Authorized Official - Last Name:AL KASSEM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-S
Authorized Official - Phone:469-845-9448
Mailing Address - Street 1:1135 S MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051
Mailing Address - Country:US
Mailing Address - Phone:469-845-9448
Mailing Address - Fax:
Practice Address - Street 1:1135 S MAIN STREET
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051
Practice Address - Country:US
Practice Address - Phone:469-845-9448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-20
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty