Healthcare Provider Details

I. General information

NPI: 1689512022
Provider Name (Legal Business Name): MAKAYLA ALLEN, LMFT, LICENSED MARRIAGE AND FAMILY THERAPIST, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19712 MACARTHUR BLVD STE 215
IRVINE CA
92612-2407
US

IV. Provider business mailing address

19712 MACARTHUR BLVD STE 215
IRVINE CA
92612-2407
US

V. Phone/Fax

Practice location:
  • Phone: 714-450-6716
  • Fax:
Mailing address:
  • Phone: 714-450-6716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MAKAYLA ALLEN
Title or Position: OWNER
Credential: LMFT
Phone: 714-450-6716