Individual ProviderAlexa AversanoMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address1019 Gayley Ave Fl 2, Los Angeles, CA 90024-3437(424) 273-8900(916) 576-7900PECOS EnrollmentBased on the most recent information from CMS, provider Alexa Aversano 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 ID1457034027Provider TypeIndividualFull NameAversano, AlexaCredentialLMFTGenderFemaleSole ProprietorNoEnumeration Date8/10/2023Last Updated2/9/2024Contact InformationPractice LocationPractice Address1019 Gayley Ave Fl 2, Los Angeles, CA 90024-3437Phone(424) 273-8900FaxUnlisted FaxMailing LocationMailing Address3835 N Freeway Blvd Ste 100, Sacramento, CA 95834-1954Phone(916) 576-7900FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense140766CaliforniaCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer