Individual ProviderPhyllis Anne MaceMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5435 College Ave, Suite 202-5, Oakland, CA 94618-1598(510) 704-8455PECOS EnrollmentBased on the most recent information from CMS, provider Phyllis Anne Mace 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 34 days ago.Profile DetailsProvider ID1396898417Provider TypeIndividualFull NameMace, Phyllis AnneCredentialM.F.T.GenderFemaleSole ProprietorYesEnumeration Date1/19/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address5435 College Ave, Suite 202-5, Oakland, CA 94618-1598Phone(510) 704-8455FaxUnlisted FaxMailing LocationMailing Address5435 College Avenue, Suite 202-5, Oakland, CA 94618Phone(510) 704-8455FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense23352California