Individual ProviderTara ShaktiMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address1328 Westwood Blvd, #9, Los Angeles, CA 90024-4941(310) 694-2396PECOS EnrollmentBased on the most recent information from CMS, provider Tara Shakti 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 ID1427594852Provider TypeIndividualFull NameShakti, TaraCredentialM.A., MFTIGenderFemaleSole ProprietorNoEnumeration Date1/9/2017Last Updated3/1/2017Contact InformationPractice LocationPractice Address1328 Westwood Blvd, #9, Los Angeles, CA 90024-4941Phone(310) 694-2396FaxUnlisted FaxMailing LocationMailing Address1328 Westwood Blvd, #9, Los Angeles, CA 90024-4941Phone(310) 694-2396FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer