Organization
GANTT PSYCHOTHERAPEUTIC AND CONSULTATION SERVICES
Active
Organization
GANTT PSYCHOTHERAPEUTIC AND CONSULTATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TOMEKA MAYS GANTT M.A. (LICENSED PROFESSIONAL COUNSELOR)
(704) 968-4893
Entity
Organization
Contact information
Practice address
10234 KELSO CT, CHARLOTTE, NC 28278-6637
(704) 968-4893
(704) 583-0672
Mailing address
10234 KELSO CT, CHARLOTTE, NC 28278-6637
(704) 968-4893
(704) 583-0672
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4417
NC
101YP2500X
Professional Counselor
4620
SC
251S00000X
Community/Behavioral Health Agency
4417
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102506
—
NC
Enumeration date
05/04/2007
Last updated
01/02/2008
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