Provider Demographics
NPI:1255045589
Name:MORRIS GANT, BELINDA
Entity type:Individual
Prefix:MRS
First Name:BELINDA
Middle Name:
Last Name:MORRIS GANT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7816 S 48TH DR
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-7301
Mailing Address - Country:US
Mailing Address - Phone:773-491-3282
Mailing Address - Fax:
Practice Address - Street 1:7816 S 48TH DR
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-7301
Practice Address - Country:US
Practice Address - Phone:773-491-3282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician