Provider Demographics
NPI:1447878673
Name:RENSING, CHLOE
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:
Last Name:RENSING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 BEECH AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-1613
Mailing Address - Country:US
Mailing Address - Phone:513-319-3546
Mailing Address - Fax:
Practice Address - Street 1:14765 W MOUNTAIN VIEW BLVD STE 107
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-2704
Practice Address - Country:US
Practice Address - Phone:513-887-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-14
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool