Provider Demographics
NPI:1003447020
Name:GAUNT, CARI ANN (LPC)
Entity Type:Individual
Prefix:
First Name:CARI
Middle Name:ANN
Last Name:GAUNT
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 1:102 FAIRVIEW DR
Mailing Address - Street 2:
Mailing Address - City:PETAL
Mailing Address - State:MS
Mailing Address - Zip Code:39465-4002
Mailing Address - Country:US
Mailing Address - Phone:601-466-9296
Mailing Address - Fax:
Practice Address - Street 1:705 W PINE ST STE C
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39401-3837
Practice Address - Country:US
Practice Address - Phone:601-466-9296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-29
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS2803101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional