Provider Demographics
NPI:1972491173
Name:GAJU, FIFI SOLEIL
Entity type:Individual
Prefix:
First Name:FIFI
Middle Name:SOLEIL
Last Name:GAJU
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 1:6908 CHARDONNAY DR
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-6061
Mailing Address - Country:US
Mailing Address - Phone:937-270-0999
Mailing Address - Fax:937-270-0999
Practice Address - Street 1:6908 CHARDONNAY DR
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-6061
Practice Address - Country:US
Practice Address - Phone:937-270-0999
Practice Address - Fax:937-270-0999
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH101YM0800X101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health