Healthcare Provider Details

I. General information

NPI: 1982927059
Provider Name (Legal Business Name): SILVIA ROCIO AGUAYO LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2010
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 3RD AVE
CHULA VISTA CA
91910-5703
US

IV. Provider business mailing address

625 3RD AVE
CHULA VISTA CA
91910-5703
US

V. Phone/Fax

Practice location:
  • Phone: 619-454-0055
  • Fax: 619-432-0045
Mailing address:
  • Phone: 619-454-0055
  • Fax: 619-432-0045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number45814
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: