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ELLAINA RENEE RUDOLPH
NPI 1730668906
Counselor - Addiction (Substance Use Disorder) in Highland Park, MI

Active since August 09, 2018
12501 HAMILTON AVE, HIGHLAND PARK, MI 48203(313) 865-1580 Get Directions Write a Review

NPPES record last updated: August 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ellaina Renee Rudolph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLAINA RENEE RUDOLPH (NPI 1730668906) is an individual addiction (substance use disorder) provider in Highland Park, Michigan and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1730668906
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameELLAINA RENEE RUDOLPH
Location Address12501 HAMILTON AVEHighland Park, MI 48203-3243
Mailing Address1989 Virginia Park StDetroit, MI 48206-2421 · (313) 784-6761
Phone(313) 865-1580
Sole ProprietorNo
Enumeration DateAugust 9, 2018
✔ NPI 1730668906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
12501 HAMILTON AVE, Highland Park, MI 48203
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CARRIE E DAUGHERTY FAODP
Counselor (Addiction (Substance Use Disorder))
12501 HAMILTON AVE
HIGHLAND PARK, MI 48203
Wayne County (313) 865-1580
KOLSUMA NESSA
Licensed Practical Nurse
12501 HAMILTON AVE
HIGHLAND PARK, MI 48203
Wayne County (313) 518-7566
NATALIE MARIA MAZIARZ
Registered Nurse
12501 HAMILTON AVE
HIGHLAND PARK, MI 48203
Wayne County (313) 865-1580
ANGELA LASHELLE HUNT
Licensed Practical Nurse
12501 HAMILTON AVE
HIGHLAND PARK, MI 48203
Wayne County (313) 865-1580
HEATHER CHANELLE BROWNER
Counselor (Addiction (Substance Use Disorder))
12501 HAMILTON AVE
HIGHLAND PARK, MI 48203
Wayne County (313) 865-1580
KELSEY ROBINSON
Counselor (Addiction (Substance Use Disorder))
12501 HAMILTON AVE
DETROIT, MI 48203
Wayne County (313) 865-1580
CATRINA WEAVER
Licensed Practical Nurse
12501 HAMILTON AVE
HIGHLAND PARK, MI 48203
Wayne County (313) 865-1580
NEDRAE NICHELLE WILSON
Registered Nurse (Addiction (Substance Use Disorder))
12501 HAMILTON AVE
HIGHLAND PARK, MI 48203
Wayne County (313) 865-1580

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellaina Rudolph's NPI number?

The NPI number for Ellaina Rudolph is 1730668906. It was assigned to this individual provider in the NPPES registry on August 9, 2018.

Where is Ellaina Rudolph located?

Ellaina Rudolph practices at 12501 Hamilton Ave, Highland Park, MI 48203. The listed phone number is (313) 865-1580.

What is Ellaina Rudolph's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Ellaina Rudolph was last updated on August 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.