Individual ProviderRhisie HentgesMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5040 Katella Ave, Suite 103, Los Alamitos, CA 90720-2802(562) 888-1774PECOS EnrollmentBased on the most recent information from CMS, provider Rhisie Hentges 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 9:43 AM.Profile DetailsProvider ID1386093334Provider TypeIndividualFull NameHentges, RhisieCredentialLMFTGenderFemaleSole ProprietorYesEnumeration Date6/10/2016Last Updated6/10/2016Contact InformationPractice LocationPractice Address5040 Katella Ave, Suite 103, Los Alamitos, CA 90720-2802Phone(562) 888-1774FaxUnlisted FaxMailing LocationMailing Address5040 Katella Ave, Suite 103, Los Alamitos, CA 90720-2802Phone(562) 888-1774FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense90416California