Counselor, Professional
CAROLINAS MEDICAL CENTER
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1942539010 · enumerated 2009-12-18 · record updated 2023-03-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: SCOTT RISSMILLER, Enterprise EVP · (704) 355-8675
Other names: TEEN HEALTH CONNECTION
Addresses and phones
- Practice location 3541 RANDOLPH RD, STE 206, CHARLOTTE, NC, 28211-1082 (704) 381-8336 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 19305, CHARLOTTE, NC, 28219-9305 (704) 631-0002 Google Maps Apple Maps OpenStreetMap
Specialties
- Psychologist 103T00000X
- Social Worker, Clinical 1041C0700X
- Pediatrics, Adolescent Medicine 2080A0000X
- Counselor, Professional 101YP2500X · Primary
Published links
In this directory
Locations and evidence
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Practice location
CHARLOTTE, NC, 282111082
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.