Provider Demographics
NPI:1477336055
Name:RENTAS, MELISSA E (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:E
Last Name:RENTAS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4830 W KENNEDY BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-2584
Mailing Address - Country:US
Mailing Address - Phone:786-922-6036
Mailing Address - Fax:
Practice Address - Street 1:5850 SWEET WILLIAM TER
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34639-2803
Practice Address - Country:US
Practice Address - Phone:786-922-6036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH22408101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health