Healthcare Provider Details

I. General information

NPI: 1740955715
Provider Name (Legal Business Name): ARIAGNA ACOSTA LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2021
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2475 NW 15TH ST
MIAMI FL
33125-2141
US

IV. Provider business mailing address

2475 NW 15TH ST
MIAMI FL
33125-2141
US

V. Phone/Fax

Practice location:
  • Phone: 786-292-4118
  • Fax:
Mailing address:
  • Phone: 786-292-4118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH28002
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-21-173599
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: