MRS. ANNALISA DERENTHAL MS LPC NCC NPI 1780880690

NPI Information

NPI: 1780880690
Provider Name: MRS. ANNALISA DERENTHAL, MS, LPC, NCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
11285 ELKINS RD
D-4
ROSWELL, GA
ZIP 30076
Phone: (678) 431-3901
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MRS. Annalisa Derenthal, MS, LPC, NCC is a professional counselor in Roswell, GA. MRS. Annalisa Derenthal, MS, LPC, NCC NPI is 1780880690. 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:

11285 ELKINS RD
D-4
ROSWELL, GA
ZIP 30076-259
Phone: (678) 431-3901
Fax: (770) 521-0512

The enumeration date for this NPI number is 6/26/2007 and was last updated on 7/8/2007.

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
1	101YP2500X	Counselor	Professional	LPC004373	GEORGIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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