Individual ProviderBreanna Lashay Youmans WhiteMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address3850 Crenshaw Blvd, Los Angeles, CA 90008-1821(323) 751-3026PECOS EnrollmentBased on the most recent information from CMS, provider Breanna Lashay Youmans White 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 ID1245798776Provider TypeIndividualFull NameWhite, Breanna Lashay YoumansGenderFemaleSole ProprietorYesEnumeration Date3/4/2019Last Updated4/25/2023Contact InformationPractice LocationPractice Address3850 Crenshaw Blvd, Los Angeles, CA 90008-1821Phone(323) 751-3026FaxUnlisted FaxMailing LocationMailing Address3850 Crenshaw Blvd, Los Angeles, CA 90008-1821Phone(323) 751-3026FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense134521California