Individual ProviderLeona M SmithMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address73 St James Dr, Santa Rosa, CA 95403(707) 571-1714PECOS EnrollmentBased on the most recent information from CMS, provider Leona M Smith 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 ID1225205453Provider TypeIndividualFull NameSmith, Leona MTitleMrs.CredentialMFTGenderFemaleSole ProprietorYesEnumeration Date5/16/2008Last Updated5/16/2008Contact InformationPractice LocationPractice Address73 St James Dr, Santa Rosa, CA 95403Phone(707) 571-1714Fax(707) 541-0675Mailing LocationMailing Address73 St James Dr, Santa Rosa, CA 95403Phone(707) 571-1714Fax(707) 541-0675Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFT24755California