Gantt, Milton Jay

Gantt, Milton Jay is an individual health care provider with primary practice located at 6315 Gulfton St Ste 100, Houston TX 77081-1107. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Gantt, Milton Jay can be contacted via phone (713) 457-4372.

Contact Information

Primary practice address
6315 Gulfton St Ste 100 Houston TX 77081-1107
Phone: (713) 457-4372
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 25667 Texas
Behavioral Health & Social Service Providers / Counselor 101Y00000X 25667 Texas
Other Service Providers / Case Manager/Care Coordinator 171M00000X 220041512 Texas

Profile Details

NPI number 1225199524
LBN Legal business name Gantt, Milton Jay
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jan 26th, 2017 - about 8 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 1225199524 NPPES
Texas Other 25667 SOCIAL WORK LICENSE

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