MEDICARE: DEBORAH ANN GANT LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	86926	TX

General Provider Information

NPI Number	:	1558181370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH ANN GANT LPC

Provider Business Mailing Address
First Line	:	15818 ELLENDALE CT
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-4822
Country	:	US
Telephone Number	:	281-460-5969
Fax Number	:

Provider Business Practice Location Address
First Line	:	12816 WILLOW CENTRE DR STE F
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77066-3034
Country	:	US
Telephone Number	:	346-235-3939
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2024
Last Update Date	:	01/22/2025

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