Look up the most recent NPI and PECOS records

Sierra Dawn Selleck

Counselor

Behavioral Health & Social Service Providers

2664 San Francisco Ave, Long Beach, CA 90806-2548

PECOS Enrollment

Based on the most recent information from CMS, provider Sierra Dawn Selleck does not have current enrollment records in PECOS.

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

CMS last updated its PECOS records 7 days ago.

Profile Details

Provider ID
1538440045
Provider Type
Individual
Full Name
Selleck, Sierra Dawn
Gender
Female

Sole Proprietor
Yes
Enumeration Date
8/30/2011
Last Updated
8/30/2011

Contact Information

Practice Location

2664 San Francisco Ave, Long Beach, CA 90806-2548

(310) 528-8494

Unlisted Fax

Mailing Location

2664 San Francisco Ave, Long Beach, CA 90806-2548

(310) 528-8494

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 101YM0800X	Description Other	Issuer CYS - 405 W. 5TH ST., STE 590, SA 92701 - 834-8017 California

Sierra Dawn Selleck

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Edwards, Pamela Sue

Tyler, Brian P

Department Of Mental Health, Long Beach

Gray, Robert Bruce

Diaz, Robert Richard

Powers, Toby

Kien, Sophia

Williams, Claudia Michele

West Coast Healthy Living Center

Ngo, Phuong