WANDA LEIGH CLARK- GANTT
NPI 1366188575
Counselor - Mental Health in North Las Vegas, NV

Q: What is Wanda Clark- Gantt's NPI number?

The NPI number for Wanda Clark- Gantt is 1366188575. It was assigned to this individual provider in the NPPES registry on May 10, 2022.

Q: What is Wanda Clark- Gantt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since May 10, 2022

3925 N MARTIN L KING BLVD STE 117, NORTH LAS VEGAS, NV 89032(702) 610-1715 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Wanda Leigh Clark- Gantt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WANDA LEIGH CLARK- GANTT (NPI 1366188575) is an individual mental health provider in North Las Vegas, Nevada and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1366188575

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameWANDA LEIGH CLARK- GANTT

Location Address3925 N MARTIN L KING BLVD STE 117North Las Vegas, NV 89032-7675

Mailing Address3925 N Martin L King Blvd Ste 117North Las Vegas, NV 89032-7675 · (702) 610-1715

Phone(702) 610-1715

Sole ProprietorYes

Enumeration DateMay 10, 2022

NPPES CertifiedMay 10, 2022

✔ NPI 1366188575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

3925 N MARTIN L KING BLVD STE 117, North Las Vegas, NV 89032

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MYRACLE 1 LLC

Community/Behavioral Health

3925 N MARTIN L KING BLVD STE 117
NORTH LAS VEGAS, NV 89032

Clark County (702) 610-1715

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda Clark- Gantt's NPI number?

The NPI number for Wanda Clark- Gantt is 1366188575. It was assigned to this individual provider in the NPPES registry on May 10, 2022.

Where is Wanda Clark- Gantt located?

Wanda Clark- Gantt practices at 3925 N Martin L King Blvd Ste 117, North Las Vegas, NV 89032. The listed phone number is (702) 610-1715.

What is Wanda Clark- Gantt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Wanda Clark- Gantt was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.