Healthcare Provider Details

I. General information

NPI: 1255255782
Provider Name (Legal Business Name): REYNA KOT LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

337 S BEVERLY DR STE 207
BEVERLY HILLS CA
90212-4308
US

IV. Provider business mailing address

325 N MAPLE DR UNIT 1959
BEVERLY HILLS CA
90210-3428
US

V. Phone/Fax

Practice location:
  • Phone: 310-990-9260
  • Fax:
Mailing address:
  • Phone: 310-990-9260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number164781
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: