Individual ProviderShira MyrowMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address1150 Yale St Ste 9, Santa Monica, CA 90403-4721(310) 916-7479PECOS EnrollmentBased on the most recent information from CMS, provider Shira Myrow 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 ID1790227312Provider TypeIndividualFull NameMyrow, ShiraCredentialLMFTGenderFemaleSole ProprietorYesEnumeration Date11/14/2016Last Updated11/14/2016Contact InformationPractice LocationPractice Address1150 Yale St Ste 9, Santa Monica, CA 90403-4721Phone(310) 916-7479FaxUnlisted FaxMailing LocationMailing Address1150 Yale St Ste 9, Santa Monica, CA 90403-4721Phone(310) 916-7479FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense93504California