Healthcare Provider Details

I. General information

NPI: 1851942270
Provider Name (Legal Business Name): AURORA ROMANS, LMFT-S
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2019
Last Update Date: 08/30/2023
Certification Date: 08/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1241 CARLSBAD VILLAGE DR STE 103
CARLSBAD CA
92008-1960
US

IV. Provider business mailing address

1790 AVENIDA VISTA LABERA
OCEANSIDE CA
92056-6515
US

V. Phone/Fax

Practice location:
  • Phone: 442-333-9163
  • Fax:
Mailing address:
  • Phone: 903-617-8585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AURORA J ROMANS
Title or Position: OWNER
Credential: LMFT
Phone: 903-617-8585