Individual
MRS. TAMEKA LATRICE GANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1384 CORDOVA CV STE 1, GERMANTOWN, TN 38138-2219
(901) 451-7052
Mailing address
PO BOX 342595, BARTLETT, TN 38184-2595
(901) 451-7052
(901) 284-0011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5388
TN
101YP2500X
Professional Counselor
91842
TX
Other
Enumeration date
01/25/2021
Last updated
09/13/2023
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