Individual provider · Type 1 NPI
Aeysha Gantt
Mental Health Counselor · Newark, NY
NPI number
1679479299
Active
Practice location
106 High St Ste B
Newark, NY 14513-1471
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | P146713 (NY) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1679479299
Aeysha Gantt's National Provider Identifier is 1679479299, issued on Oct 19, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Newark, NY. The record was last updated on Oct 19, 2026.