MS. SUSAN HALLIE RUSSELL (NPI# 1134501810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134501810 |
| Entity Type | Individual |
| Full Name | MS. SUSAN HALLIE RUSSELL |
| Credential | MA, NCC, LPC-A |
| Practice Address |
5855 Executive Center Dr Ste 104 Charlotte NC 28212-8880 |
| Practice Telephone | 9802258938 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
A8969 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184045379 | Susan Elizabeth Russell | Counselor | 201 Maple St, East Jordan, MI 49727-9620 | 2013-12-15 |
| 1477806396 | Susan Kay Russell | Licensed Practical Nurse | 913 W Holmes Rd Ste 189, Lansing, MI 48910-0434 | 2012-10-16 |
| 1083895296 | Susan Payne Russell | Social Worker | 1085 Tunnel Road, Suite#3, Asheville, NC 28805-2039 | 2007-11-15 |
| 1235348137 | Susan Marie Russell | Counselor | 4018 Medina Rd Ste D, Medina, OH 44256-9675 | 2007-05-21 |
| 1811000441 | Susan Ann Russell | Pharmacist | I-40, Exit 102, San Fidel, NM 87049 | 2006-08-17 |
| 1194733618 | Susan M. Russell | Speech-Language Pathologist | 10749 E 29th Pl, Tulsa, OK 74129-7805 | 2006-08-03 |
| 1558644617 | Susan F Russell | Psychologist | 4343 Shallowford Rd, Suite H-5, Marietta, GA 30062-5023 | 2011-09-26 |
| 1245486331 | Susan Renee Russell | Internal Medicine | 675 N Saint Clair St, Suite 18-250, Chicago, IL 60611-5975 | 2008-08-08 |
| 1477717577 | Susan C Russell | Counselor | 175 W B St Ste I, Springfield, OR 97477-4575 | 2008-07-17 |
| 1487793907 | Susan M. Russell | Counselor | 319 Union St, Bangor, ME 04401-4607 | 2007-02-05 |
| Street Address |
5855 EXECUTIVE CENTER DR STE 104 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28212-8880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679828214 | Anuvia Prevention & Recovery Center, Inc. | Counselor | 5855 Executive Center Dr Ste 104, Charlotte, NC 28212-8821 | 2012-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371250 | Amy Sierra Conner | Counselor | 5700 Executive Drive Suite 110, Charlotte, NC 28212 | 2019-11-25 |
| 1700447307 | Nagarani Nagarajan Dds.,pllc | Clinic/Center | 2510 Vista Drive, Suite 100, Charlotte, NC 28212 | 2019-06-25 |
| 1700441011 | Khadija Brown | Counselor | 6601 English Hills Dr, Charlotte, NC 28212 | 2019-05-02 |
| 1245711514 | Savannah Huneycutt | Dentist | 6708 Albemarle Road, Charlotte, NC 28212 | 2018-08-24 |
| 1417435710 | Porcelain Dolls of The Carolinas, Inc | Clinic/Center | 5835 Executive Center Dr # 101-i, Charlotte, NC 28212 | 2018-07-30 |
| 1447701511 | Christine Walker Physical Therapy, LLC | Clinic/Center | 8850 Monroe Rd, Charlotte, NC 28212 | 2016-10-24 |
| 1013376128 | Colby Edward Joyner | Physician Assistant | 7005 Wallace Rd Ste 600, Charlotte, NC 28212 | 2016-02-17 |
| 1760814412 | Nguyen Tri Nguyen, Dds, Pa | Dentist | 6404 Albemarle Road, #c, Charlotte, NC 28212 | 2013-08-05 |
| 1477806834 | Tara Thompson | Counselor | 6900 Democracy Dr., Charlotte, NC 28212 | 2012-10-23 |
| 1568711109 | Mary Dianne Branch | Counselor | 8130 Runaway Bay Drive Apt Q, Charlotte, NC 28212 | 2012-08-29 |
| Find all providers in zip 28212 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962789 | Art of Expression, Pllc | Counselor | 125 Remount Rd Ste C1-1150, Charlotte, NC 28203-6458 | 2020-08-11 |
| 1952925141 | Leanna R Rice | Counselor | 6015 Glendale Chase Ct Apt 302, Charlotte, NC 28217-0077 | 2020-06-03 |
| 1902429772 | Sunshine Care LLC | Counselor | 2108 Ayrsley Town Blvd Unit A, Charlotte, NC 28273-4215 | 2020-05-27 |
| 1194348557 | Immerse & Emerge Counseling | Counselor | 10617 Kettering Dr Ste 113, Charlotte, NC 28226-4900 | 2020-05-20 |
| 1477174464 | Oliver's Contracting, Consulting, & Counseling Services, Pllc | Counselor | 4108 Park Rd Ste 408, Charlotte, NC 28209-2262 | 2020-04-30 |
| 1720619679 | John Wesley Goodwin IIi | Counselor | 5015 Stowe Derby Dr, Charlotte, NC 28278-7377 | 2020-01-30 |
| 1063059731 | Justina Mame Adadewa Ankrah | Counselor | 3001 Buckleigh Dr, Charlotte, NC 28215-7538 | 2019-12-02 |
| 1538704051 | Hattie M Williams | Counselor | 7517 Orr Rd, Charlotte, NC 28213-6544 | 2019-11-07 |
| 1720623390 | Maylee Vazquez | Counselor | 201 Stetson Dr, Charlotte, NC 28262-3364 | 2019-11-07 |
| 1053955468 | Hollis Wilson | Counselor | 6715a Fairview Rd Ste 102, Charlotte, NC 28210-3323 | 2019-10-30 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on MS. SUSAN HALLIE RUSSELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.