Gantt Psychotherapeutic and Consultation Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4417 Issued in NC

Legal business name

GANTT PSYCHOTHERAPEUTIC AND CONSULTATION SERVICES

Practice address

10234 Kelso CT
Charlotte, NC 28278-6637

Phone

(704) 968-4893

Fax

(704) 583-0672

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Tomeka Mays Gantt, M.A.

Title

Licensed Professional Counselor

Phone

(704) 968-4893

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1750593281",
    "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": "10234 KELSO CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282786637",
            "telephone_number": "704-968-4893",
            "fax_number": "704-583-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANTT PSYCHOTHERAPEUTIC AND CONSULTATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "GANTT",
        "authorized_official_first_name": "TOMEKA",
        "authorized_official_middle_name": "MAYS",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "704-968-4893",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4417",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4620",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "4417",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102506",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Demetrio Anquain Gant, PA
• Michelle Gant
• Abhishek Ganta, MD
• Tasha Ganthier, LCSW
• Jordan McKenzie Gantous, PA-C
• Gantt Youth and Family Services LLC
• Erika Gordon Gantt, MD
• Lakshmi Ganugapenta, FNP
• Safiyya Ganzie
• Yukun Gao, MD

• Professional Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.