Healthcare Provider Details

I. General information

NPI: 1245151513
Provider Name (Legal Business Name): ESTELLE GYIMAH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2830 NW 41ST ST
GAINESVILLE FL
32606-6667
US

IV. Provider business mailing address

2230 NE 9TH TER
GAINESVILLE FL
32609-3839
US

V. Phone/Fax

Practice location:
  • Phone: 352-363-1998
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH27372
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: