Provider Demographics
NPI:1659741148
Name:REINERTH, SCOTT P (LMFT)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:P
Last Name:REINERTH
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7181
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30604-7181
Mailing Address - Country:US
Mailing Address - Phone:706-540-0261
Mailing Address - Fax:
Practice Address - Street 1:320 E CLAYTON ST # 107
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30601-2765
Practice Address - Country:US
Practice Address - Phone:424-341-5638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-28
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT001417106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist