Individual ProviderMaitri Dasa JoyMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address3440 Airway Dr, Santa Rosa, CA 95403-2065(415) 990-8977PECOS EnrollmentBased on the most recent information from CMS, provider Maitri Dasa Joy 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 yesterday at 1:08 PM.Profile DetailsProvider ID1841583036Provider TypeIndividualFull NameJoy, Maitri DasaCredentialMFTGenderFemaleSole ProprietorYesEnumeration Date5/19/2011Last Updated12/3/2015Contact InformationPractice LocationPractice Address3440 Airway Dr, Santa Rosa, CA 95403-2065Phone(415) 990-8977FaxUnlisted FaxMailing LocationMailing AddressPO Box 1143, Sebastopol, CA 95473-1143Phone(415) 990-8977FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense49012California