Provider Demographics
NPI:1083399091
Name:RENTER, TROY A (LMHC)
Entity Type:Individual
Prefix:
First Name:TROY
Middle Name:A
Last Name:RENTER
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1146 HIGHWAY 59 # 510
Mailing Address - Street 2:
Mailing Address - City:HARLAN
Mailing Address - State:IA
Mailing Address - Zip Code:51537-4906
Mailing Address - Country:US
Mailing Address - Phone:641-295-6537
Mailing Address - Fax:
Practice Address - Street 1:1146 HIGHWAY 59 # 510
Practice Address - Street 2:
Practice Address - City:HARLAN
Practice Address - State:IA
Practice Address - Zip Code:51537-4906
Practice Address - Country:US
Practice Address - Phone:641-295-6537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA120612101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health