Gant, Lori M

Gant, Lori M is an individual health care provider with primary practice located at 200 W. 5Th North Street Suite C, Summerville SC 29483-6512. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gant, Lori M can be contacted via phone (843) 695-8865.

Contact Information

Primary practice address
200 W. 5Th North Street Suite C Summerville SC 29483-6512
Fax: (843) 695-8517
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1013358621
LBN Legal business name Gant, Lori M
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2013
Last updated Nov 20th, 2019 - about 7 years 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 1013358621 NPPES
South Carolina MEDICAID 1760596480

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