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Brooke Alida Sundin

Marriage & Family Therapist

Behavioral Health & Social Service Providers

833 5th St Apt 304, Santa Monica, CA 90403-1341

PECOS Enrollment

This provider is enrolled in PECOS as BROOKE RAWLS.

Based on the most recent information from CMS, provider Brooke Alida Sundin is legally eligible to order and refer claims for Part B and DME services only.

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

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1922500024
Provider Type
Individual
Full Name
Sundin, Brooke Alida
Gender
Female

Sole Proprietor
No
Enumeration Date
3/5/2018
Last Updated
10/13/2025

Contact Information

Practice Location

833 5th St Apt 304, Santa Monica, CA 90403-1341

(323) 432-0066

Unlisted Fax

Mailing Location

6001 Hughes Xing Apt 317, Franklin, TN 37064-4128

(323) 432-0066

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License LMT124192 California

Brooke Alida Sundin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Satinover, Barbara Sue

Schulweis, Seth

Hackney, Jennifer

Verbit, Paula

Elias, Margaret

Miller, Samantha

Janowski, Joseph

Neuman, Kylliki

Wiener, Karen Lynn

Arnold, Erica