Individual
MRS. TOMEKA MAYS GANTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
452 LAKESHORE PKWY STE 230, ROCK HILL, SC 29730-4291
(704) 968-4893
Mailing address
9029 GERALD DR, CHARLOTTE, NC 28217-3080
(704) 968-4893
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4417
NC
101YP2500X
Professional Counselor
Primary
4620
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102506
—
NC
Enumeration date
12/21/2006
Last updated
07/08/2007
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