1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Nurse Practitioner
  6. NPI Profile

CAROLINAS COMMUNITY SERVICES ENTERPRISE
NPI 1033071139
Nurse Practitioner - Psychiatric/Mental Health in Charlotte, NC

Active since November 26, 2025
4907 ARDENWOODS DR, CHARLOTTE, NC 28215(704) 351-6562 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carolinas Community Services Enterprise NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINAS COMMUNITY SERVICES ENTERPRISE (NPI 1033071139) is a healthcare organization registered as a psychiatric/mental health in Charlotte, North Carolina and active in the NPI registry since November 2025. The organization lists Brenda Cupp, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033071139
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCAROLINAS COMMUNITY SERVICES ENTERPRISE
Location Address4907 ARDENWOODS DRCharlotte, NC 28215-9777
Mailing Address4907 Ardenwoods DrCharlotte, NC 28215-9777
Phone(704) 351-6562
Organization SubpartNo
Authorized OfficialBrenda CuppCeo · (704) 351-6562
Enumeration DateNovember 26, 2025
NPPES CertifiedNovember 26, 2025
✔ NPI 1033071139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4907 ARDENWOODS DR, Charlotte, NC 28215
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions

What is CAROLINAS COMMUNITY SERVICES ENTERPRISE's NPI number?

The NPI number assigned to this healthcare provider is 1033071139, enumerated as an "organization" on November 26, 2025.

Where is the provider located?

The provider is located at 4907 ARDENWOODS DR CHARLOTTE, NC 28215 and the phone number is (704) 351-6562.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.