Individual ProviderElyse Claire DonnellyMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address17858 Linda Dr, Yorba Linda, CA 92886-3346(714) 686-9433PECOS EnrollmentBased on the most recent information from CMS, provider Elyse Claire Donnelly 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 4 days ago.Profile DetailsProvider ID1093305682Provider TypeIndividualFull NameDonnelly, Elyse ClaireTitleMs.CredentialLMFTGenderFemaleSole ProprietorNoEnumeration Date1/19/2021Last Updated1/19/2021Contact InformationPractice LocationPractice Address17858 Linda Dr, Yorba Linda, CA 92886-3346Phone(714) 686-9433FaxUnlisted FaxMailing LocationMailing Address17858 Linda Dr, Yorba Linda, CA 92886-3346Phone(714) 686-9433FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense105550CaliforniaProvider IdentifiersIDDescriptionIssuerIDLMFT105550DescriptionOtherIssuerBOARD OF BEHAVIORAL SCIENCESCalifornia