Individual ProviderSummer Breanna WoodsMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address3756 Santa Rosalia Dr Ste 424, Los Angeles, CA 90008-3614(323) 596-3147(323) 380-7590PECOS EnrollmentBased on the most recent information from CMS, provider Summer Breanna Woods 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 ID1508512732Provider TypeIndividualFull NameWoods, Summer BreannaGenderFemaleSole ProprietorYesEnumeration Date2/25/2022Last Updated2/16/2024Contact InformationPractice LocationPractice Address3756 Santa Rosalia Dr Ste 424, Los Angeles, CA 90008-3614Phone(323) 596-3147Fax(323) 596-3473Mailing LocationMailing Address6762 Lexington Ave, Los Angeles, CA 90038-1217Phone(323) 380-7590FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense143057CaliforniaCode106S00000XDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCalifornia