# CAROLINAS COMMUNITY SERVICES ENTERPRISE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033071139
- **Authorized official:** BRENDA CUPP FNP (CEO)
- **Authorized official phone:** (704) 351-6562

## Contact information

- **Practice address:** 4907 ARDENWOODS DR, CHARLOTTE, NC 28215-9777
- **Practice address phone:** (704) 351-6562
- **Mailing address:** 4907 ARDENWOODS DR, CHARLOTTE, NC 28215-9777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | — | NULL | — |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/26/2025
- **Last updated:** 11/26/2025