Provider Demographics
NPI:1457236838
Name:CISNEROS-ESTRADA, GIBELY ELIDAH (LMFTA)
Entity type:Individual
Prefix:
First Name:GIBELY
Middle Name:ELIDAH
Last Name:CISNEROS-ESTRADA
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6320 QUADRANGLE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-7890
Mailing Address - Country:US
Mailing Address - Phone:919-205-8305
Mailing Address - Fax:
Practice Address - Street 1:6320 QUADRANGLE DR STE 100
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-7890
Practice Address - Country:US
Practice Address - Phone:919-205-8305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20758A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist