Provider Demographics
NPI:1093605891
Name:RENSCH, JULIA (MS, LAC)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:RENSCH
Suffix:
Gender:F
Credentials:MS, LAC
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:KARRYS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, LAC
Mailing Address - Street 1:1102 E HACKAMORE ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203-4333
Mailing Address - Country:US
Mailing Address - Phone:480-818-3907
Mailing Address - Fax:
Practice Address - Street 1:37 N HIBBERT
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-7421
Practice Address - Country:US
Practice Address - Phone:480-818-3907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-22881101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health