Healthcare Provider Details

I. General information

NPI: 1265344121
Provider Name (Legal Business Name): OPTIMAL MINDSET, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7112 HODGES MEADOW LANE
CHARLOTTE NC
28213
US

IV. Provider business mailing address

8611 CONCORD MILLS BLVD # 160
CONCORD NC
28027-5400
US

V. Phone/Fax

Practice location:
  • Phone: 828-582-1400
  • Fax:
Mailing address:
  • Phone: 828-582-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY ABRAHAM
Title or Position: OWNER/EMPLOYEE
Credential: LCSW, LCSW
Phone: 828-582-1400