Samantha Miller | Santa Monica, CA • PECOS Search

Samantha Miller

Marriage & Family Therapist

Behavioral Health & Social Service Providers

2730 Wilshire Blvd Ste 250, Santa Monica, CA 90403-4749

PECOS Enrollment

Based on the most recent information from CMS, provider Samantha Miller does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1326686502
Provider Type
Individual
Full Name
Miller, Samantha
Credential
MA, AMFT

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/18/2019
Last Updated
1/5/2022

Contact Information

Practice Location

2730 Wilshire Blvd Ste 250, Santa Monica, CA 90403-4749

Unlisted Fax

Mailing Location

2730 Wilshire Blvd Ste 250, Santa Monica, CA 90403-4749

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 124234 California