IndividualActive
Carol Russo, LMFT
NPI 1346439742 · Marriage & Family Therapist · Myrtle Beach, SC
Provider details
- NPI number
- 1346439742
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- No
- License
- 4054 (SC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
1107 48th Ave N
Suite 111-E
Myrtle Beach, SC 29577-5443
Phone: (843) 254-9447
Fax: (843) 449-8753
Approximate (ZIP-level) locationGet directions
Mailing address
1107 48th Ave. No.
Myrtle Beach, SC 29577-5926
Registry dates
- Enumerated
- 2007-10-22
- Last updated
- 2008-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.