Individual ProviderMary Ellen O'Connell-LussierMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address10433 Wilshire Blvd, Los Angeles, CA 90024-4637(310) 712-1222PECOS EnrollmentBased on the most recent information from CMS, provider Mary Ellen O'Connell-Lussier 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 ID1710497664Provider TypeIndividualFull NameO'Connell-Lussier, Mary EllenCredentialLMFTGenderFemaleSole ProprietorYesEnumeration Date10/5/2017Last Updated3/22/2024Contact InformationPractice LocationPractice Address10433 Wilshire Blvd, Los Angeles, CA 90024-4637Phone(310) 712-1222FaxUnlisted FaxMailing LocationMailing Address10433 Wilshire Blvd Apt 409, Los Angeles, CA 90024-4613PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense96005California