Organization
CAROLINAS COUNSELING GROUP OF CHARLOTTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A RUSS PH.D (PRESIDENT)
(704) 752-8414
Entity
Organization
Contact information
Practice address
7401 CARMEL EXECUTIVE PARK DR, SUITE 210, CHARLOTTE, NC 28226-8275
(704) 752-8414
(704) 752-8104
Mailing address
7401 CARMEL EXECUTIVE PARK DR, SUITE 210, CHARLOTTE, NC 28226-8275
(704) 752-8414
(704) 752-8104
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2886
NC
103T00000X
Psychologist
2266
NC
106H00000X
Marriage & Family Therapist
Primary
994
NC
Other
Enumeration date
02/15/2006
Last updated
09/11/2025
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