Gantt Youth and Family Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GANTT YOUTH AND FAMILY SERVICES LLC

Practice address

9635 Southern Pine Blvd Ste 127
Charlotte, NC 28273-5563

Phone

(704) 968-4893

Fax

(704) 583-0672

NPI assigned

Apr 13, 2019

Last updated

Apr 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tomeka Gantt, LPCNPI 1689738999

Title

Therapist

Phone

(704) 968-4893

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tomeka Mays Gantt, MA, LPC

  • Professional Counselor
  • Rock Hill, SC
  • NPI 1689738999
  Authorized official Same address or phone

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

{
    "created_epoch": "1555113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555113600000",
    "number": "1235692419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10234 KELSO CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282786637",
            "telephone_number": "704-968-4893",
            "fax_number": "704-583-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9635 SOUTHERN PINE BLVD STE 127",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735563",
            "telephone_number": "704-968-4893",
            "fax_number": "704-583-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANTT YOUTH AND FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-13",
        "last_updated": "2019-04-13",
        "status": "A",
        "authorized_official_last_name": "GANTT",
        "authorized_official_first_name": "TOMEKA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "704-968-4893",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGALZOOM",
            "identifier": "20191",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Gant
• Abhishek Ganta, MD
• Tasha Ganthier, LCSW
• Jordan McKenzie Gantous, PA-C
• Gantt Psychotherapeutic and Consultation Services
• Erika Gordon Gantt, MD
• Lakshmi Ganugapenta, FNP
• Safiyya Ganzie
• Yukun Gao, MD
• Gapover MD, PLLC

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2019; 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.