Lakeisha Shonta Gantt, PHD is a
Psychologist based in Athens, Georgia. Lakeisha Shonta Gantt is licensed to practice in Georgia (license number 003777) and her current practice location is
1150 Dearing Extension, Suite C, Athens, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 389-8207.
NPI number for Lakeisha Shonta Gantt is 1134495971 and her current mailing address is 1150 Dearing Extension, Suite C, Athens, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134495971.
Healthcare Provider's Profile
Full Name | Lakeisha Shonta Gantt |
---|
Gender | Female |
---|
Speciality | Psychologist |
---|
Location | 1150 Dearing Extension, Athens, Georgia |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134495971
- Provider Enumeration Date: 03/27/2012
- Last Update Date: 06/14/2023
Medical Identifiers
Medical identifiers for Lakeisha Shonta Gantt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134495971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | LPC006380 (Georgia) | Secondary |
103T00000X | Psychologist | 003777 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lakeisha Shonta Gantt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lakeisha Shonta Gantt, PHD 1150 Dearing Extension, Suite C, Athens, GA 30606-3697 Ph: (706) 389-8207 | Lakeisha Shonta Gantt, PHD 1150 Dearing Extension, Suite C, Athens, GA 30606-3697 Ph: (706) 389-8207 |
Reviews and Comments