Healthcare Provider Details

I. General information

NPI: 1508030586
Provider Name (Legal Business Name): ROSARIO SVEIDY WILLIAMS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MOON CACTUS THERAPY & CONSULTING N/A

II. Dates (important events)

Enumeration Date: 04/21/2008
Last Update Date: 02/14/2026
Certification Date: 02/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 N BROADWAY # 32892
LOS ANGELES CA
90012-1408
US

IV. Provider business mailing address

1301 N BROADWAY # 32892
LOS ANGELES CA
90012-1408
US

V. Phone/Fax

Practice location:
  • Phone: 323-702-8287
  • Fax:
Mailing address:
  • Phone: 323-702-8287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number84801
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: