Sheaton Marie Baskerville | Los Angeles, CA • PECOS Search

Sheaton Marie Baskerville

Marriage & Family Therapist

Behavioral Health & Social Service Providers

3870 Crenshaw Blvd Ste 207, Los Angeles, CA 90008-1815

1323336041 (323) 336-0418

PECOS Enrollment

Based on the most recent information from CMS, provider Sheaton Marie Baskerville does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1033309539
Provider Type
Individual
Full Name
Baskerville, Sheaton Marie
Title
Mrs.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/31/2007
Last Updated
2/10/2021

Contact Information

Practice Location

3870 Crenshaw Blvd Ste 207, Los Angeles, CA 90008-1815

(323) 221-3231

Mailing Location

3870 Crenshaw Blvd Ste 207, Los Angeles, CA 90008-1815

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 87029 California