Individual ProviderSophie HalavyMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address3201 Wilshire Blvd Ste 301, Santa Monica, CA 90403-2335(310) 919-6900PECOS EnrollmentBased on the most recent information from CMS, provider Sophie Halavy 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 ID1245007954Provider TypeIndividualFull NameHalavy, SophieCredentialMS, AMFT, APCCGenderFemaleSole ProprietorNoEnumeration Date12/4/2023Last Updated1/8/2024Contact InformationPractice LocationPractice Address3201 Wilshire Blvd Ste 301, Santa Monica, CA 90403-2335Phone(310) 919-6900FaxUnlisted FaxMailing LocationMailing Address11040 Santa Monica Blvd Ste 400, Los Angeles, CA 90025-7547Phone(310) 919-6900FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense143175CaliforniaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense15297California