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Keayera Mcdaniels

Marriage & Family Therapist

Behavioral Health & Social Service Providers

3870 Crenshaw Blvd Ste 212, Los Angeles, CA 90008-1815

PECOS Enrollment

Based on the most recent information from CMS, provider Keayera Mcdaniels is legally eligible to order and refer claims for Part B and DME services only.

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

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1205439676
Provider Type
Individual
Full Name
Mcdaniels, Keayera
Gender
Female

Sole Proprietor
No
Enumeration Date
11/18/2020
Last Updated
12/26/2024

Contact Information

Practice Location

3870 Crenshaw Blvd Ste 212, Los Angeles, CA 90008-1815

(323) 290-5058

Unlisted Fax

Mailing Location

3870 Crenshaw Blvd Ste 212, Los Angeles, CA 90008-1815

(323) 290-5058

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 143724 California
Code 106H00000X	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 122340 California

Keayera Mcdaniels

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Woods, Summer Breanna

Excel Family Intervention Programs

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Vargas, Maria E.

Salaveria, Vincent

Jenkins, Dana Maria

Baskerville, Sheaton Marie

Wolfe, Julia

Bell, Daneane Wyntere