Gantt, Richard Phillip

Gantt, Richard Phillip is an individual health care provider with primary practice located at 104 S Front Ave , Prestonsburg KY 41653-1614. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Gantt, Richard Phillip can be contacted via phone (606) 886-8572.

Contact Information

Primary practice address
104 S Front Ave Prestonsburg KY 41653-1614
Phone: (606) 886-8572
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 104898 Kentucky
Behavioral Health & Social Service Providers / Professional 101YP2500X 104898 Kentucky

Profile Details

NPI number 1417174285
LBN Legal business name Gantt, Richard Phillip
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Mar 15th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417174285 NPPES
Kentucky Other 104898 KY LICENSE

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