Individual ProviderMara BentleyMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address3756 Santa Rosalia Dr Ste 312, Los Angeles, CA 90008-3615(714) 995-7805PECOS EnrollmentBased on the most recent information from CMS, provider Mara Bentley 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 ID1952557944Provider TypeIndividualFull NameBentley, MaraTitleMs.GenderFemaleSole ProprietorYesEnumeration Date8/11/2008Last Updated8/11/2008Contact InformationPractice LocationPractice Address3756 Santa Rosalia Dr Ste 312, Los Angeles, CA 90008-3615Phone(714) 995-7805FaxUnlisted FaxMailing LocationMailing Address3756 Santa Rosalia Dr Ste 312, Los Angeles, CA 90008-3615Phone(714) 995-7805FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseIMF 47403California