Healthcare Provider Details

I. General information

NPI: 1023272465
Provider Name (Legal Business Name): ROSALBA REYNOSO ACOSTA LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ROSALBA ACOSTA-HOWELL LMFT

II. Dates (important events)

Enumeration Date: 07/15/2008
Last Update Date: 09/03/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

62 DISCOVERY SUITE 100 & 125
IRVINE CA
92618
US

IV. Provider business mailing address

62 DISCOVERY SUITE 100 & 125
IRVINE CA
92618
US

V. Phone/Fax

Practice location:
  • Phone: 949-551-2969
  • Fax:
Mailing address:
  • Phone: 949-551-2969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number47080
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: