Walter Brandon Gantt, LPC, CSAT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC05194 Issued in AL

Practice address

8650 Minnie Brown Rd
Montgomery, AL 36117-7803

Phone

(334) 324-6588

NPI assigned

Apr 13, 2021

Last updated

Nov 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Brandon Knight Gantt Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1154901171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8396 TIMBER CREEK DR",
            "city": "PIKE ROAD",
            "state": "AL",
            "postal_code": "360642276",
            "telephone_number": "407-739-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 MINNIE BROWN RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177803",
            "telephone_number": "334-324-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTT",
        "first_name": "WALTER",
        "middle_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "LPC, CSAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-13",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "LPC05194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@deeprootscandc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8650 Minnie Brown Rd Ste 190",
            "city": "Montgomery",
            "state": "AL",
            "country_code": "US",
            "postal_code": "361177832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRANDON",
            "last_name": "GANTT",
            "middle_name": "KNIGHT",
            "prefix": "MR.",
            "credential": "LPC, CSAT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Pamela June Galloway, MS, RD, LD
• Katherine Allen Gamper, CRNP
• Bryan W Gandy, PT
• Kelly Garcia Gandy, PHARMD
• Emily Gantt, FNP-C
• Orencio Garcia-Brenes, M.D.
• Carlos M Garcia, M.D.
• Jonathan Gomez Garcia, DPM
• Olivia Caridad Garcia, M.D.
• Gardenia Cove Mental Health PC

• Mental Health Counselor in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.