Caitlin Blue | Santa Monica, CA • PECOS Search

Caitlin Blue

Marriage & Family Therapist

Behavioral Health & Social Service Providers

2730 Wilshire Blvd Ste 650&660, Santa Monica, CA 90403-4743

PECOS Enrollment

Based on the most recent information from CMS, provider Caitlin Blue does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1841842416
Provider Type
Individual
Full Name
Blue, Caitlin
Title
Ms.
Credential
LMFT

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/12/2019
Last Updated
7/12/2019

Contact Information

Practice Location

2730 Wilshire Blvd Ste 650&660, Santa Monica, CA 90403-4743

Unlisted Fax

Mailing Location

967 Corsica Dr, Pacific Palisades, CA 90272-4011

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 113414 California