DR. MANDY PHILLIPS RUDDELL NPI 1427320886

NPI Information

  • NPI: 1427320886
  • Provider Name: DR. MANDY PHILLIPS RUDDELL
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 5150 STILESBORO RD NW
    SUITE 100
    KENNESAW, GA
    ZIP 30152
  • Phone: (404) 680-3032

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NPI Details

DR. Mandy Phillips Ruddell is a professional counselor in Kennesaw, GA. DR. Mandy Phillips Ruddell NPI is 1427320886. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5150 STILESBORO RD NW
SUITE 100
KENNESAW, GA
ZIP 30152-744
Phone: (404) 680-3032

The enumeration date for this NPI number is 2/1/2012 and was last updated on 2/1/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional003837GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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