Healthcare Provider Details

I. General information

NPI: 1598305492
Provider Name (Legal Business Name): REINNA ALBORNOZ LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2020
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8039 BELLAGIO LN
BOYNTON BEACH FL
33472-2743
US

IV. Provider business mailing address

8039 BELLAGIO LN
BOYNTON BEACH FL
33472-2743
US

V. Phone/Fax

Practice location:
  • Phone: 561-507-0520
  • Fax:
Mailing address:
  • Phone: 561-507-0520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH17420
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: