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

Individual provider Mental Health Counselor · NPI 1790822369

Miss. Michelle Rena Rudolph, LCMHC is a Mental Health Counselor in Wilmington, North Carolina. Practices as a sole proprietor and works from 3 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2007
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Practice location Address checks out

6752 Parker Farm Dr Ste 100
Wilmington, NC 28405-3175
Phone: (910) 758-1362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 211 S 2nd St Ste 207, Clarksville, TN 37040-2201 — (910) 806-5177
  • 1552 Tylertown Rd Apt 403, Clarksville, TN 37040-2758 — (910) 758-1362

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 11881 (NC)

Record details

NPI number1790822369
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC
Sole proprietorYes
NPI enumeratedJanuary 31, 2007
Last updated in NPPESOctober 4, 2022
Certification dateOctober 3, 2022

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