MICHELLE RANDOLPH (NPI# 1285091264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285091264 |
| Entity Type | Individual |
| Full Name | MICHELLE RANDOLPH |
| Credential | LPC, LBSW |
| Practice Address |
2361 Fairlane Dr Montgomery AL 36116-1633 |
| Mailing Address |
Po Box 3223 2014 Upper Wetumpka Road Montgomery AL 36109-0223 |
| Practice Telephone | 3342797830 |
| Practice Fax Number | 3342778862 |
| Mailing Telephone | 3342797830 |
| Mailing Fax Number | 3342778862 |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3477 | AL | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 1688B | AL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649395872 | Michelle Marie Randolph | Social Worker | 5100 N 6th St Ste 151, Fresno, CA 93710-7515 | 2007-03-20 |
| 1346209756 | Michelle L Randolph | Internal Medicine | 2741 Debarr Road Suite 402, Anchorage, AK 99508 | 2006-03-23 |
| 1649435660 | Michelle D Randolph | Physical Therapist | 1410 Long Run Rd, Louisville, KY 40245-4334 | 2008-07-21 |
| Street Address |
2361 FAIRLANE DR |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36116-1633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225079262 | Glenwood | Community/Behavioral Health | 2361 Fairlane Dr, Montgomery, AL 36116-1633 | 2006-06-09 |
| 1841834561 | Emily Longino | Behavioral Analyst | 2361 Fairlane Dr, Montgomery, AL 36116-1633 | 2019-11-06 |
| 1457826646 | Emily Woodason | Speech-Language Pathologist | 2361 Fairlane Dr, Montgomery, AL 36116-1633 | 2018-10-04 |
| 1598289605 | Samantha Lee | Behavioral Analyst | 2361 Fairlane Dr, Montgomery, AL 36116-1633 | 2017-07-31 |
| 1063940039 | Karey C Deshazo | Counselor | 2361 Fairlane Dr, Montgomery, AL 36116-1633 | 2017-06-02 |
| 1740648559 | Roxana Olsson | Counselor | 2361 Fairlane Dr, Montgomery, AL 36116-1633 | 2016-02-08 |
| 1891114229 | Jennifer Elizabeth O'connor | Occupational Therapist | 2361 Fairlane Dr, Montgomery, AL 36116-1633 | 2014-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275153892 | Sayyeda Ann Uz Zahra | Student in an Organized Health Care Education/Training Program | 2055 East South Blvd. Suite 202, Uab Montgomery, Montgomery, AL 36116 | 2020-04-23 |
| 1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
| 1750869814 | Nina Yvette Massey | Family Medicine | Baptist South Uab Multi Specialty Clinic, 2119 E. South Blvd, Montgomery, AL 36116 | 2018-08-01 |
| 1336635697 | Briana Lynn Adair | Speech-Language Pathologist | 2185 Normandie Rd., Montgomery, AL 36116 | 2018-07-10 |
| 1790201770 | Rinka Ravi Pahwani | Student in an Organized Health Care Education/Training Program | 4371 Narrow Lane Road, Suite 100, Montgomery, AL 36116 | 2017-08-21 |
| 1982052015 | Kevin J Jones | Pharmacist | 4385 Narrow Lane Rd, Montgomery, AL 36116 | 2016-05-31 |
| 1891153284 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 8035 Vaughn Road, Montgomery, AL 36116 | 2016-02-01 |
| 1871917583 | E Dental | Dentist | 6956 Vaughn Rd, Montgomery, AL 36116 | 2014-02-17 |
| 1033545199 | Jennings Professional Services LLC | Home Health | 2921 Martin Lane, Montgomery, AL 36116 | 2013-09-20 |
| 1750721973 | Joseph Alan Taylor | Counselor | 8104 Seaton Place, Montgomery, AL 36116 | 2013-07-02 |
| Find all providers in zip 36116 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162376 | Kasey Leigh Byrd | Counselor | 106 Pine Crest Cir, Montgomery, TX 77316-1471 | 2020-10-22 |
| 1902423858 | Glenn Paul Winkler | Counselor | 500 Interstate Park Dr Ste 522, Montgomery, AL 36109-5489 | 2020-06-26 |
| 1457973950 | Kristin Nicole Byrd | Counselor | 935 S Perry St, Montgomery, AL 36104-5021 | 2020-05-07 |
| 1811527344 | Juanita Dalvery Barnett | Counselor | 6000 Monticello Dr, Montgomery, AL 36117-1907 | 2020-01-23 |
| 1982242756 | Kendra Rhodes | Counselor | 1337 Richton Rd, Montgomery, AL 36117-8932 | 2019-12-12 |
| 1710545595 | Vaughn Motley Bryant IIi | Counselor | 14740 Liberty Street, Montgomery, TX 77356 | 2019-06-05 |
| 1316502248 | Keila Cares, LLC | Counselor | 4758 Woodmere Blvd Ste H, Montgomery, AL 36106-3076 | 2019-05-06 |
| 1871157420 | Belinda Kay Warren Delapena | Counselor | 3507 Whittier, Montgomery, TX 77356 | 2019-04-30 |
| 1861953739 | Laquanda Wiggins | Counselor | 8448 Crossland Loop Ste 163, Montgomery, AL 36117-0951 | 2019-03-25 |
| 1942769443 | Cheryl L Whetstone | Counselor | 3214 Babette Cir, Montgomery, AL 36116-3913 | 2019-03-14 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36116 |
Please comment or provide details below to improve the information on MICHELLE RANDOLPH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.