Healthcare Provider Details

I. General information

NPI: 1154237543
Provider Name (Legal Business Name): STRONG ROOTS COUNSELING & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3354 DREXEL RD
MONTGOMERY AL
36106-3206
US

IV. Provider business mailing address

3358 DREXEL RD
MONTGOMERY AL
36106
US

V. Phone/Fax

Practice location:
  • Phone: 334-220-6406
  • Fax:
Mailing address:
  • Phone: 334-220-6406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: IZANDRA RUDOLPH-HEARD
Title or Position: CO-OWNER/LPC
Credential:
Phone: 334-604-9527