Individual ProviderMelissa Elizabeth BentleyMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address3440 Airway Dr, Suite E, Santa Rosa, CA 95403-2065(707) 544-3299PECOS EnrollmentBased on the most recent information from CMS, provider Melissa Elizabeth Bentley 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 ID1194157917Provider TypeIndividualFull NameBentley, Melissa ElizabethGenderFemaleSole ProprietorYesEnumeration Date8/2/2013Last Updated3/4/2015Contact InformationPractice LocationPractice Address3440 Airway Dr, Suite E, Santa Rosa, CA 95403-2065Phone(707) 544-3299Fax(707) 544-6837Mailing LocationMailing Address3440 Airway Dr, Suite E, Santa Rosa, CA 95403-2065Phone(707) 544-3299Fax(707) 544-6837Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense68600California