Individual provider · Type 1 NPI

Carrie Anne Russo

Mental Health Counselor · West Melbourne, FL

NPI number 1093657892 Active

Practice location

630 S Wickham Rd Ste 107
West Melbourne, FL 32904-1429

Call (321) 608-0604 Map

Mailing address

1181 Palo Alto St SE
Palm Bay, FL 32909-7208

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1093657892

Carrie Anne Russo's National Provider Identifier is 1093657892, issued on Apr 8, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Melbourne, FL. The record was last updated on Apr 8, 2026.