Provider Demographics
NPI:1497452940
Name:ESTEVA, GISELA
Entity Type:Individual
Prefix:
First Name:GISELA
Middle Name:
Last Name:ESTEVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2485 FAIRWAY HARBOR DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-5407
Mailing Address - Country:US
Mailing Address - Phone:832-566-7376
Mailing Address - Fax:
Practice Address - Street 1:5858 WESTHEIMER RD STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-5643
Practice Address - Country:US
Practice Address - Phone:713-487-9310
Practice Address - Fax:713-489-1719
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-14
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX85661101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health