Mr. Cory Anthony Russell, LPCI
Mr. Cory Anthony Russell, LPCI is a Mental Health Counselor in Allendale, South Carolina. Qualified in 2019, 7 years ago. Practices with Lifesource of North Carolina, a 170-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.
- Years since qualifying
- 7
- Licensed in
- SC
- In the registry since
- 2014
Practice location Address checks out
438 Barnwell RdAllendale, SC 29810
Phone: (803) 584-4636
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 939 Springdale Dr, Clinton, SC 29325-7266 — (910) 742-9243
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 6131 (SC) |
|---|
Record details
| NPI number | 1720498785 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LPCI |
| Sole proprietor | No |
| NPI enumerated | April 30, 2014 |
| Last updated in NPPES | May 9, 2025 |
| Certification date | May 9, 2025 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Lifesource Of North Carolina — 170 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Allendale
-
James Freeman
603 Barnwell Rd, Allendale, SC 29810 · (803) 584-4636
-
Christy Jinks, MA
603 Barnwell Rpad, Allendale, SC 29810 · (803) 584-4636
-
P&t Therapy Group LLC
989 Water St, Allendale, SC 29810-3413 · (803) 634-0735
-
Paula Priester
279 Hickory St S, Allendale, SC 29810-4633 · (803) 573-7104
-
Yulandar Sue Simmons
355 Pearl St, Allendale, SC 29810-3537 · (863) 314-7402
-
MS. Katherine Elizabeth Tharin, LPC
603 Barnwell Hwy, Allendale, SC 29810-1905 · (803) 584-4636