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

Maxi Alexis Rudolph

Individual provider Professional Counselor · NPI 1164952982

Maxi Alexis Rudolph is a Professional Counselor in Blue Bell, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2017.

Licensed in
PA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

1777 Sentry Pkwy W Ste 300
Blue Bell, PA 19422-2211
Phone: (215) 767-7096
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X (PA)
Counselor Taxonomy 101Y00000X (PA)

Record details

NPI number1164952982
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 14, 2017
Last updated in NPPESApril 18, 2023
Certification dateApril 18, 2023
Mailing address1777 Sentry Pkwy W Ste 300, Blue Bell, PA 19422-2211

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