# CAROLINAS COUNSELING GROUP OF CHARLOTTE, INC.

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

## Provider details

- **NPI number:** 1558335679
- **Authorized official:** DR. DAVID A RUSS PH.D (PRESIDENT)
- **Authorized official phone:** (704) 752-8414

## Contact information

- **Practice address:** 7401 CARMEL EXECUTIVE PARK DR, SUITE 210, CHARLOTTE, NC 28226-8275
- **Practice address phone:** (704) 752-8414
- **Practice address fax:** (704) 752-8104
- **Mailing address:** 7401 CARMEL EXECUTIVE PARK DR, SUITE 210, CHARLOTTE, NC 28226-8275
- **Mailing address phone:** (704) 752-8414
- **Mailing address fax:** (704) 752-8104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 2886 | NC | — |
| 103T00000X | Psychologist | 2266 | NC | — |
| 106H00000X | Marriage & Family Therapist | 994 | NC | Yes |

## Other

- **Enumeration date:** 02/15/2006
- **Last updated:** 09/11/2025