LARRY DEVON GANTT (NPI# 1437433067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437433067 |
| Entity Type | Individual |
| Full Name | LARRY DEVON GANTT |
| Credential | LCPC |
| Practice Address |
111 S Treaty Rd Miami OK 74354-5327 |
| Mailing Address |
114 W Delware Ave Nowata OK 74048-2601 |
| Practice Telephone | 9185401511 |
| Practice Fax Number | 9185427374 |
| Mailing Telephone | 9182731841 |
| Mailing Fax Number | 9182731843 |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2015-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
111 S TREATY RD |
| City | MIAMI |
| State | OK |
| Zip Code | 74354-5327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356333819 | Julie D Finney | Physician Assistant | 111 S Treaty Rd, Miami, OK 74354-5327 | 2005-08-19 |
| 1194336156 | Presley Ashtin Goff | Social Worker | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-08-13 |
| 1649898529 | Caressa Russell | Social Worker | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-07-08 |
| 1043838899 | Brandon Allan Maples | Peer Specialist | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-07-08 |
| 1942823190 | Zaine Alexander Gibson | Behavioral Analyst | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-05-22 |
| 1215558127 | Sydnee Marie Vance | Case Manager/Care Coordinator | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-05-01 |
| 1558981217 | Michael Shane Allen | Case Manager/Care Coordinator | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-04-23 |
| 1093335754 | Jonathan Kyle Shinn | Counselor | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-04-23 |
| 1972139475 | Lila Renee Metzker | Counselor | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-03-16 |
| 1518591254 | Amanda Wren | Case Manager/Care Coordinator | 111 S Treaty Rd, Miami, OK 74354-5327 | 2020-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447786603 | Coal Creek Counseling, LLC | Social Worker | 204 D St Ne, Miami, OK 74354 | 2017-05-10 |
| 1164958567 | Yco Tulsa, Inc | Counselor | 1458 E Steve Owens Blvd, Miami, OK 74354 | 2017-05-04 |
| 1982064226 | Yco Tulsa, Inc | Clinic/Center | 1519 E Steve Owens Blvd, Miami, OK 74354 | 2016-02-29 |
| 1548641285 | Courtney Marie Winfrey | Occupational Therapy Assistant | 310 2nd Ave Sw Fl 3, Miami, OK 74354 | 2015-06-17 |
| 1417338039 | Michelle Dawn Johnson | Case Manager/Care Coordinator | 1519 E. Steve Owens Blvd, Miami, OK 74354 | 2015-06-10 |
| 1790100337 | Jordan Taylor-threet | Speech-Language Pathologist | 2225 N. Main St., Miami, OK 74354 | 2014-02-19 |
| 1700137551 | Miami Healthcare, LLC | Skilled Nursing Facility | 2530 North Elm St., Miami, OK 74354 | 2012-09-19 |
| 1144507534 | Julia Brown | Pharmacist | 11 West Central, Miami, OK 74354 | 2011-11-14 |
| 1841504685 | Dodie A Giles Keith | Counselor | 33 C Street Northeast, Miami, OK 74354 | 2010-08-04 |
| 1013221571 | Katherine Renee Burke | Counselor | 111 S. Treaty Rd., Miami, OK 74354 | 2010-07-27 |
| Find all providers in zip 74354 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573898 | Michaelle J Sylveus | Counselor | 10794 N Kendall Dr Apt B18, Miami, FL 33176-1466 | 2020-09-22 |
| 1346851847 | South Florida Arts & Counseling, Inc | Counselor | 2727 Nw 17th Ter Apt 205, Miami, FL 33125-1149 | 2020-08-10 |
| 1104443647 | Karina G Castillo | Counselor | 14808 Sw 116th Ave, Miami, FL 33176 | 2020-07-01 |
| 1710508908 | Michelle Lee Zuzock | Counselor | 2160 Sw 16th Ave Apt 315, Miami, FL 33145-2870 | 2020-04-29 |
| 1043856909 | Kristen Patterson | Counselor | 19400 Gulfstream Rd., Miami, FL 33157-6817 | 2019-11-25 |
| 1932745965 | Jessica Mantell | Counselor | 1300 Brickell Bay Dr Apt 1204, Miami, FL 33131-3385 | 2019-11-25 |
| 1588209381 | Toni T Rice | Counselor | 2780 S.w. 37th Ave, Suite #206, Miami, FL 33133 | 2019-11-15 |
| 1841858537 | Julio A Abraham Jr. | Counselor | 13029 Nw 9th Ter, Miami, FL 33182-2388 | 2019-05-29 |
| 1922564772 | Ibrahin Miranda | Counselor | 1562 Sw 144th Ave, Miami, FL 33184-3271 | 2019-02-18 |
| 1104380849 | Mabel M Castro | Counselor | 20535 Nw 2nd Ave Ste 204, Miami, FL 33169-2547 | 2019-01-28 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.