Individual ProviderBetsy Carol CantorMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address1011 Euclid St Unit E, Santa Monica, CA 90403-4296(310) 403-5006PECOS EnrollmentBased on the most recent information from CMS, provider Betsy Carol Cantor 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 ID1295335420Provider TypeIndividualFull NameCantor, Betsy CarolCredentialLMFTGenderFemaleSole ProprietorYesEnumeration Date10/27/2020Last Updated10/27/2020Contact InformationPractice LocationPractice Address1011 Euclid St Unit E, Santa Monica, CA 90403-4296Phone(310) 403-5006FaxUnlisted FaxMailing LocationMailing Address1011 Euclid St Unit E, Santa Monica, CA 90403-4296Phone(310) 403-5006FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseLMFT24366CaliforniaProvider IdentifiersIDDescriptionIssuerIDLMFT24366DescriptionOtherIssuerCALIFORNIA BBSECalifornia