Individual
RANDELL RUDELL BROOKE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
215 MOUNTAIN DR, SUITE 106, DESTIN, FL 32541-2346
(850) 837-9100
(850) 837-3774
Mailing address
215 MOUNTAIN DR, SUITE 106, DESTIN, FL 32541-2346
(850) 837-9100
(850) 837-3774
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH808
FL
106H00000X
Marriage & Family Therapist
MT847
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z0970
BCBS
FL
Enumeration date
11/29/2005
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us