Individual ProviderMorgan PetrielloMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address3910 S Orange Dr, Los Angeles, CA 90008-1110(201) 248-2074PECOS EnrollmentBased on the most recent information from CMS, provider Morgan Petriello 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 ID1083400147Provider TypeIndividualFull NamePetriello, MorganGenderFemaleSole ProprietorNoEnumeration Date4/16/2025Last Updated4/16/2025Contact InformationPractice LocationPractice Address3910 S Orange Dr, Los Angeles, CA 90008-1110Phone(201) 248-2074FaxUnlisted FaxMailing LocationMailing Address3910 S Orange Dr, Los Angeles, CA 90008-1110Phone(201) 248-2074FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense144993California