Provider Demographics
NPI:1821868290
Name:RENTZ, ERICA ANUNCIATA (LAPC)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:ANUNCIATA
Last Name:RENTZ
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:ANUNCIATA
Other - Last Name:CARRETERO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAPC
Mailing Address - Street 1:5855 JIMMY CARTER BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30071-2984
Mailing Address - Country:US
Mailing Address - Phone:404-751-7336
Mailing Address - Fax:
Practice Address - Street 1:5855 JIMMY CARTER BLVD STE 200
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-2984
Practice Address - Country:US
Practice Address - Phone:404-751-7336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA007474101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor