Provider Demographics
NPI:1093609521
Name:GISELLE LEARNING ACADEMY LLC
Entity type:Organization
Organization Name:GISELLE LEARNING ACADEMY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CESAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-292-0750
Mailing Address - Street 1:335 CROSSTREE LN
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-1846
Mailing Address - Country:US
Mailing Address - Phone:786-512-5888
Mailing Address - Fax:786-512-5888
Practice Address - Street 1:3900 MEMORIAL COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:GA
Practice Address - Zip Code:30021-2406
Practice Address - Country:US
Practice Address - Phone:404-292-0750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency