Organization
CAROLINAS COMMUNITY SERVICES ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA CUPP FNP (CEO)
(704) 351-6562
Entity
Organization
Contact information
Practice address
4907 ARDENWOODS DR, CHARLOTTE, NC 28215-9777
(704) 351-6562
Mailing address
4907 ARDENWOODS DR, CHARLOTTE, NC 28215-9777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
251S00000X
Community/Behavioral Health Agency
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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