Individual ProviderMisty Anne MejiaMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address44550 Village Ct Ste 103, Palm Desert, CA 92260-3817(951) 396-1395PECOS EnrollmentBased on the most recent information from CMS, provider Misty Anne Mejia 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 5 days ago.Profile DetailsProvider ID1285074195Provider TypeIndividualFull NameMejia, Misty AnneGenderFemaleSole ProprietorYesEnumeration Date6/25/2013Last Updated12/4/2024Contact InformationPractice LocationPractice Address44550 Village Ct Ste 103, Palm Desert, CA 92260-3817Phone(951) 396-1395FaxUnlisted FaxMailing LocationMailing Address44550 Village Ct Ste 103, Palm Desert, CA 92260-3817Phone(951) 396-1395FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense109583CaliforniaCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense82181California