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

Carrie Anne Russo

Individual provider Mental Health Counselor · NPI 1093657892

Carrie Anne Russo is a Mental Health Counselor in West Melbourne, Florida. Licensed in Florida. Registered with an NPI since 2026.

Licensed in
FL
In the registry since
2026

Practice location Address checks out

630 S Wickham Rd Ste 107
West Melbourne, FL 32904-1429
Phone: (321) 608-0604
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (FL)

Record details

NPI number1093657892
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2026
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026
Mailing address1181 Palo Alto St Se, Palm Bay, FL 32909-7208

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