Provider Demographics
NPI:1558181370
Name:GANT, DEBORAH ANN (LPC)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ANN
Last Name:GANT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15818 ELLENDALE CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4822
Mailing Address - Country:US
Mailing Address - Phone:281-460-5969
Mailing Address - Fax:
Practice Address - Street 1:12816 WILLOW CENTRE DR STE F
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77066-3034
Practice Address - Country:US
Practice Address - Phone:346-235-3939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-16
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86926101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional