Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carol K Russo, LMFT

Individual provider Marriage & Family Therapist · NPI 1346439742

Carol K Russo, LMFT is a Marriage and Family Therapist in Myrtle Beach, South Carolina. Qualified in 1983, 43 years ago. Accepts Medicare assignment and offers telehealth. Licensed in North Carolina and South Carolina.

Years since qualifying
43
Licensed in
NC, SC
In the registry since
2007
Specialties on file
2
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

1107 48th Ave N Ste 111-E
Myrtle Beach, SC 29577-5443
Phone: (843) 254-9447
Fax: (843) 449-8753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 4054 (SC)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 1120 (NC)

Record details

NPI number1346439742
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT
Sole proprietorNo
NPI enumeratedOctober 22, 2007
Last updated in NPPESFebruary 1, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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