MS. SUSAN HALLIE RUSSELL MA NCC LPC-A NPI 1134501810

NPI Information

  • NPI: 1134501810
  • Provider Name: MS. SUSAN HALLIE RUSSELL, MA, NCC, LPC-A
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 5855 EXECUTIVE CENTER DR STE 104
    CHARLOTTE, NC
    ZIP 28212
  • Phone: (980) 225-8938

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NPI Details

MS. Susan Hallie Russell, MA, NCC, LPC-A is a professional counselor in Charlotte, NC. MS. Susan Hallie Russell, MA, NCC, LPC-A NPI is 1134501810. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5855 EXECUTIVE CENTER DR STE 104
CHARLOTTE, NC
ZIP 28212-880
Phone: (980) 225-8938

The enumeration date for this NPI number is 6/18/2015 and was last updated on 8/25/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalA8969NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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