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

Carrell Octavia Frederick, LCMHC

Individual provider Professional Counselor · NPI 1780046565

Carrell Octavia Frederick, LCMHC is a Professional Counselor in Concord, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2016
Specialties on file
2

Practice location Address checks out

301 Medical Park Dr Ste 202B
Concord, NC 28025-2981
Phone: (704) 403-2626
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2608 E 7th St, Charlotte, NC 28204-4375 — (704) 403-2626

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 12060 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence 12060 (NC)

Record details

NPI number1780046565
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC
Sole proprietorNo
NPI enumeratedMarch 22, 2016
Last updated in NPPESJuly 15, 2024

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