OrganizationAmanda Marie Espy Family Therapy, Inc.Marriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address827 4th St Apt 408, Santa Monica, CA 90403-1277(424) 291-1249PECOS EnrollmentBased on the most recent information from CMS, provider Amanda Marie Espy Family Therapy, Inc. 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 ID1588492938Provider TypeOrganizationFull NameAmanda Marie Espy Family Therapy, Inc.SubpartNoEnumeration Date7/25/2024Last Updated7/25/2024Contact InformationPractice LocationPractice Address827 4th St Apt 408, Santa Monica, CA 90403-1277Phone(424) 291-1249FaxUnlisted FaxMailing LocationMailing Address827 4th St Apt 408, Santa Monica, CA 90403-1277PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameEspy, Amanda Marie (Owner)Phone(424) 291-1249Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1760950109DescriptionMedicaidIssuerUnlistedCalifornia