Individual ProviderJoanna EllisMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address1355 Westwood Blvd Ste 206, Los Angeles, CA 90024-4944(310) 266-0860PECOS EnrollmentBased on the most recent information from CMS, provider Joanna Ellis 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 ID1275660730Provider TypeIndividualFull NameEllis, JoannaTitleMs.CredentialMAGenderFemaleSole ProprietorYesEnumeration Date2/28/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address1355 Westwood Blvd Ste 206, Los Angeles, CA 90024-4944Phone(310) 266-0860FaxUnlisted FaxMailing LocationMailing Address1611 N Curson Ave, Los Angeles, CA 90046-2805Phone(310) 266-0860Fax(323) 845-0197Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFC36380California