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NPI Code Detail

MEDICARE: HANNAH GANTT

MEDICARE: HANNAH GANTT
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
1101YP2500XProfessional CounselorCP6235NV

General Provider Information

NPI Number : 1639952138
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH GANTT
Provider Business Mailing Address
First Line : 4029 DEAN MARTIN DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-4138
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4029 DEAN MARTIN DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-4138
Country : US
Telephone Number : 702-848-2256
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2023
Last Update Date : 02/27/2026

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Directions to “ HANNAH GANTT ” Practice Location

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