| Ivory Tierra Renthrope Iii, | |
|
3270 Suntree Blvd, Melbourne, FL 32940-7530 | |
| (321) 610-7949 | |
| Not Available |
| Full Name | Ivory Tierra Renthrope Iii |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 3270 Suntree Blvd, Melbourne, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932546983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Ivory Tierra Renthrope Iii, 3780 Erie St, Cocoa, FL 32926-3837 Ph: (321) 271-7762 | Ivory Tierra Renthrope Iii, 3270 Suntree Blvd, Melbourne, FL 32940-7530 Ph: (321) 610-7949 |
Michelle Cannon, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 326 Croton Rd, Melbourne, FL 32935 Phone: 321-752-3170 Fax: 321-752-3179 | |
Bryanna Oswalt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4450 W Eau Gallie Blvd, Suite 200, Melbourne, FL 32934 Phone: 321-726-2860 | |
Mrs. Jennifer Lovell, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3345 Delaney Dr Apt 101, Melbourne, FL 32934 Phone: 321-557-1888 | |
Angela Bryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3270 Suntree Blvd Ste 103a, Melbourne, FL 32940 Phone: 321-757-4015 | |
Ms. J. Phyllis Brannen, LCSW, CAP Counselor Medicare: Medicare Enrolled Practice Location: 1503 Pine St, Melbourne, FL 32901 Phone: 321-953-3225 Fax: 321-953-3252 | |
Anne Wolfram, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3040 N Wickham Rd, Suite 3, Melbourne, FL 32935 Phone: 321-254-3042 Fax: 321-254-4770 | |
Mrs. Kwanya Toussaint, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3270 Suntree Blvd Ste 127, Melbourne, FL 32940 Phone: 321-610-7949 Fax: 321-610-7947 |