OrganizationAb Family Therapist Professional CorporationMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address2530 Wilshire Blvd Ste 300, Santa Monica, CA 90403-4659(310) 402-0005PECOS EnrollmentBased on the most recent information from CMS, provider Ab Family Therapist Professional Corporation 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 ID1316683741Provider TypeOrganizationFull NameAb Family Therapist Professional CorporationSubpartNoEnumeration Date5/9/2022Last Updated8/31/2024Contact InformationPractice LocationPractice Address2530 Wilshire Blvd Ste 300, Santa Monica, CA 90403-4659Phone(310) 402-0005Fax(310) 987-4655Mailing LocationMailing Address2530 Wilshire Blvd Ste 300, Santa Monica, CA 90403-4659Phone(310) 402-0005Fax(310) 987-4655Authorized OfficialNameBattista, Amada (Provider)Phone(310) 402-0005Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1821454240DescriptionOtherIssuerPROVIDERCalifornia