Lisa Hanes | Santa Monica, CA • PECOS Search

Lisa Hanes

Marriage & Family Therapist

Behavioral Health & Social Service Providers

1150 Yale Street, Suite 2, Santa Monica, CA 90403

(310) 795-8335 (917) 817-9117

PECOS Enrollment

Based on the most recent information from CMS, provider Lisa Hanes 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
1376915793
Provider Type
Individual
Full Name
Hanes, Lisa
Title
Ms.
Credential
LMFT, RN, CNM

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/25/2015
Last Updated
11/29/2018

Contact Information

Practice Location

1150 Yale Street, Suite 2, Santa Monica, CA 90403

Unlisted Fax

Mailing Location

2461 Santa Monica Blvd #302, Santa Monica, CA 90404

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 86668 California