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General NPI Number Information
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NPI Number | 1356642920
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Entity Type | Individual
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Provider Name | TAMISHA LASHAY GANT PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/12/2010
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 2501 N HAYDEN RD STE 103
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City | SCOTTSDALE
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State | AZ
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Zip | 85257-2326
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Country | US
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Telephone | 602-704-1020
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Fax | 602-669-4185
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Provider Business Mailing Address
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Address Line | PO BOX 360039
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City | DECATUR
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State | GA
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Zip | 30036-0039
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Country | US
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Telephone | 602-704-1020
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Fax | 602-704-1020
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP3762
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN164853
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 23139
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 843046
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License Number State | CA
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