Ivory Tierra Renthrope III
Ivory Tierra Renthrope III is a Mental Health Counselor in Melbourne, Florida. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
3270 Suntree BlvdMelbourne, FL 32940-7530
Phone: (321) 610-7949
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1932546983 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 31, 2013 |
| Last updated in NPPES | May 31, 2013 |
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