Richard Phillip Gantt in Corbin - Mental Health
Richard Phillip Gantt - NPI 1417174285
Richard Phillip Gantt is a Mental Health in Corbin, Kentucky. Richard Phillip Gantt practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Richard Phillip Gantt is 1417174285. The last update date is 2021-08-18.
Richard Phillip Gantt's current location address is 168 Holloway Dr, Corbin, Kentucky. You can contact this provider via phone number 6065240100. The mailing address for Richard Phillip Gantt is 168 Holloway Dr, Corbin, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Phillip Gantt |
|---|---|
| Address | 168 Holloway Dr, Corbin, Kentucky |
| Phone Number | 6065240100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPCC |
NPI Number Detail
| NPI Number | 1417174285 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2021-08-18 |
Provider Mailing Address Detail
| Address | 168 Holloway Dr |
|---|---|
| City | Corbin |
| State | Kentucky (KY) |
| Post Code | 407018608 |
| Phone Number | 6065240100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 104898 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 104898 | KY | KY LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Richard Phillip Gantt by the Centers for Medicare & Medicaid Services?
The Richard Phillip Gantt has been issued the NPI (National Provider Identifier) 1417174285 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Richard Phillip Gantt is located?
The Richard Phillip Gantt is situated at the following address: 168 Holloway Dr, Corbin, KY, 407018608.
What is Richard Phillip Gantt's area of expertise and its corresponding taxonomy classification?
The Richard Phillip Gantt's field of specialization is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their areas of practice.
On what date did Richard Phillip Gantt receive its 1417174285 assignment from the Centers for Medicare & Medicaid Services?
The Richard Phillip Gantt was assigned its 1417174285 on 2007-04-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Richard Phillip Gantt's information last updated?
The Richard Phillip Gantt's information was last updated on 2021-08-18.
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