Provider Demographics
NPI:1447768692
Name:RDR COUNSELING SERVICES
Entity type:Organization
Organization Name:RDR COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:DERRELL
Authorized Official - Last Name:RUSH
Authorized Official - Suffix:
Authorized Official - Credentials:DMIN, LPC
Authorized Official - Phone:256-288-3827
Mailing Address - Street 1:1428 WEATHERLY RD SE STE 104
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35803-1181
Mailing Address - Country:US
Mailing Address - Phone:256-288-3827
Mailing Address - Fax:256-288-3828
Practice Address - Street 1:1428 WEATHERLY RD SE STE 104
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35803-1181
Practice Address - Country:US
Practice Address - Phone:256-288-3827
Practice Address - Fax:256-288-3828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-22
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3030101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty