| Carol K Russo, LMFT | |
|
1107 48th Ave N, Suite 111-e, Myrtle Beach, SC 29577-5443 | |
| (843) 254-9447 | |
| (843) 449-8753 |
| Full Name | Carol K Russo |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 1107 48th Ave N, Myrtle Beach, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346439742 | NPI | - | NPPES |
| 6105147 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 4054 (South Carolina) | Primary |
| 106H00000X | Marriage & Family Therapist | 1120 (North Carolina) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Carol K Russo, LMFT 1107 48th Ave. No., Parkway Office Plaza Suite 111-e, Myrtle Beach, SC 29577-5926 Ph: (843) 254-9447 | Carol K Russo, LMFT 1107 48th Ave N, Suite 111-e, Myrtle Beach, SC 29577-5443 Ph: (843) 254-9447 |
Mrs. Katherine Hood West, ED.S, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 901 N Kings Hwy, Myrtle Beach, SC 29577 Phone: 843-448-4828 | |
Mrs. Joanna Sue Sortelli, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 564 Affinity Dr, Myrtle Beach, SC 29588 Phone: 619-436-9647 |