Provider Demographics
NPI:1275334617
Name:ACOSTA, ARLENE PENELOPE (LMFT)
Entity type:Individual
Prefix:
First Name:ARLENE
Middle Name:PENELOPE
Last Name:ACOSTA
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5836 MORRILL AVE
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90606-1108
Mailing Address - Country:US
Mailing Address - Phone:323-571-0633
Mailing Address - Fax:
Practice Address - Street 1:5836 MORRILL AVE
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90606-1108
Practice Address - Country:US
Practice Address - Phone:323-571-0633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA153256106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist