Richelle Mancewicz | Santa Monica, CA • PECOS Search

Richelle Mancewicz

Marriage & Family Therapist

Behavioral Health & Social Service Providers

1150 Yale St, Suite 9, Santa Monica, CA 90403-4738

PECOS Enrollment

Based on the most recent information from CMS, provider Richelle Mancewicz 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
1104278290
Provider Type
Individual
Full Name
Mancewicz, Richelle
Credential
M.A., LMFT

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/13/2016
Last Updated
7/13/2016

Contact Information

Practice Location

1150 Yale St, Suite 9, Santa Monica, CA 90403-4738

Unlisted Fax

Mailing Location

3770 Meier St, Los Angeles, CA 90066-3650

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 93745 California