Individual ProviderDebra MindlinMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address10450 Wilshire Blvd Unit 12h, Los Angeles, CA 90024-4614(310) 717-7415PECOS EnrollmentBased on the most recent information from CMS, provider Debra Mindlin 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 ID1598128464Provider TypeIndividualFull NameMindlin, DebraCredentialMFT40852GenderFemaleSole ProprietorYesEnumeration Date3/30/2016Last Updated3/30/2016Contact InformationPractice LocationPractice Address10450 Wilshire Blvd Unit 12h, Los Angeles, CA 90024-4614Phone(310) 717-7415FaxUnlisted FaxMailing LocationMailing Address10450 Wilshire Blvd Unit 12h, Los Angeles, CA 90024-4614Phone(310) 717-7415FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense40852California