Individual provider · Type 1 NPI

Carla Russell

Mental Health Counselor · Roswell, GA

NPI number 1174472872 Active

Practice location

555 Sun Valley Dr Ste L3
Roswell, GA 30076-5630

Mailing address

2774 Cobb Pkwy NW Ste 109-322
Kennesaw, GA 30152-3469

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1174472872

Carla Russell's National Provider Identifier is 1174472872, issued on Jan 26, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Roswell, GA. The record was last updated on Jan 26, 2026.