Doctor Name: | DRENDA DENISE ROUNTREE |
NPI Number: | 1689088916 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, NCC, LAPC |
License Number: | APC003755 |
Business Practice Address: | 1815 Old 41 Hwy Nw Suite 110 Kennesaw, GA - 301524420 |
Business Phone Number: | 6784689103 |
Business Fax Number: | 5203332906 |
Mailing Address: | 1815 Old 41 Hwy Nw, Suite 110 KENNESAW |
State: | GA |
Postal Code: | 301524420 |
Phone Number: | 6784689103 |
Fax Number: | 5203332906 |
NPI Enumeration Date: | 06/14/2014 |
NPI Last Update Date: | 06/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | APC003755 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |