Individual ProviderAlexandria Wolfe-GradyMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address2730 Wilshire Blvd Ste Office2, Santa Monica, CA 90403-4743(805) 881-3410(805) 252-9794PECOS EnrollmentBased on the most recent information from CMS, provider Alexandria Wolfe-Grady does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1023530060Provider TypeIndividualFull NameWolfe-Grady, AlexandriaCredentialLMFT, APCCGenderFemaleSole ProprietorNoEnumeration Date7/12/2017Last Updated7/11/2022Contact InformationPractice LocationPractice Address2730 Wilshire Blvd Ste Office2, Santa Monica, CA 90403-4743Phone(805) 881-3410FaxUnlisted FaxMailing LocationMailing Address2730 Wilshire Blvd Ste 650, Santa Monica, CA 90403-4746Phone(805) 252-9794FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense124893CaliforniaCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense112791California