Lakeisha Shonta Gantt, PHD - Counselor in Athens, GA

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Lakeisha Shonta Gantt, PHD is a Psychologist - Clinical based in Athens, Georgia. Lakeisha Shonta Gantt is licensed to practice in Georgia (license number PSY003777) and her current practice location is 2750 Lexington Rd, Athens, Georgia. She can be reached at her office (for appointments etc.) via phone at (706) 389-8207.

NPI number for Lakeisha Shonta Gantt is 1134495971 and her current mailing address is 225 Swanson Dr, Athens, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134495971.

Contact Information

Lakeisha Shonta Gantt, PHD
2750 Lexington Rd,
Athens, GA 30605-2406
(706) 389-8207
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameLakeisha Shonta Gantt
GenderFemale
SpecialityPsychologist - Clinical
Location2750 Lexington Rd, Athens, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134495971
  • Provider Enumeration Date: 03/27/2012
  • Last Update Date: 07/10/2024

Medical Identifiers

Medical identifiers for Lakeisha Shonta Gantt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134495971NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional LPC006380 (Georgia)Secondary
103TC0700XPsychologist - Clinical PSY003777 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lakeisha Shonta Gantt is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lakeisha Shonta Gantt, PHD
225 Swanson Dr,
Athens, GA 30606-3219

Ph: (706) 389-8207		Lakeisha Shonta Gantt, PHD
2750 Lexington Rd,
Athens, GA 30605-2406

Ph: (706) 389-8207

Reviews and Comments



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