MEDICARE: MELANIE SARA GNAIZDA-GILSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH7334	FL
2	101YP2500X	Professional Counselor	MH7334	FL

General Provider Information

NPI Number	:	1780572362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE SARA GNAIZDA-GILSON

Provider Business Mailing Address
First Line	:	3835 N FREEWAY BLVD STE 100
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-1954
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7000 W PALMETTO PARK RD STE 407
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3425
Country	:	US
Telephone Number	:	855-501-1004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2025
Last Update Date	:	04/08/2026

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