Individual ProviderAlexandra TappanMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address1112 Montana Ave # 91, Santa Monica, CA 90403-1652(310) 663-0111PECOS EnrollmentBased on the most recent information from CMS, provider Alexandra Tappan 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 ID1437848652Provider TypeIndividualFull NameTappan, AlexandraCredentialMFTGenderFemaleSole ProprietorYesEnumeration Date5/3/2023Last Updated5/3/2023Contact InformationPractice LocationPractice Address1112 Montana Ave # 91, Santa Monica, CA 90403-1652Phone(310) 663-0111FaxUnlisted FaxMailing LocationMailing Address1112 Montana Ave # 91, Santa Monica, CA 90403-1652Phone(310) 663-0111FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense138385California