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

Mr. Carlson Andrews Theodore, LCMHC

Individual provider Mental Health Counselor · NPI 1699097063

Mr. Carlson Andrews Theodore, LCMHC is a Mental Health Counselor in Rougemont, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2010

Practice location Address checks out

96 Elderberry Ln
Rougemont, NC 27572-9275
Phone: (919) 240-9192
Show map & directions

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

Additional practice locations (1)

  • 100 Loop St, Clinton, NC 28328-4062 — (910) 596-2221

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 7744 (NC)

Record details

NPI number1699097063
Entity typeIndividual (Type 1)
GenderMale
Credentials LCMHC
Sole proprietorYes
NPI enumeratedFebruary 25, 2010
Last updated in NPPESMay 22, 2023
Certification dateMay 11, 2023

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