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

Individual provider Mental Health Counselor · NPI 1982306940

Izandra Patrice Rudolph-Heard is a Mental Health Counselor in Montgomery, Alabama. Qualified in 2024, 2 years ago. Accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
2
Licensed in
AL
In the registry since
2023
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Practice location Address checks out

2911 Zelda Rd
Montgomery, AL 36106-2648
Phone: (334) 262-7787
Fax: (334) 262-7795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 4419 (AL)

Record details

NPI number1982306940
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 21, 2023
Last updated in NPPESMarch 21, 2023
Certification dateMarch 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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