Individual ProviderKaty Aileen O'DonnellMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address3201 Wilshire Blvd Ste 201, Santa Monica, CA 90403-2337(424) 272-6395PECOS EnrollmentBased on the most recent information from CMS, provider Katy Aileen O'Donnell 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 ID1396259305Provider TypeIndividualFull NameO'Donnell, Katy AileenCredentialMFTIGenderFemaleSole ProprietorNoEnumeration Date11/29/2017Last Updated11/29/2017Contact InformationPractice LocationPractice Address3201 Wilshire Blvd Ste 201, Santa Monica, CA 90403-2337Phone(424) 272-6395Fax(310) 829-7997Mailing LocationMailing Address3201 Wilshire Blvd Ste 201, Santa Monica, CA 90403-2337Phone(424) 272-6395FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseIMF99677California