Individual ProviderAmy Gibbs WhiteMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5811 Amaya Dr Ste 204, La Mesa, CA 91942-4156(858) 531-1110PECOS EnrollmentBased on the most recent information from CMS, provider Amy Gibbs White 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 3 days ago.Profile DetailsProvider ID1629759055Provider TypeIndividualFull NameWhite, Amy GibbsCredentialAMFTGenderFemaleSole ProprietorNoEnumeration Date7/27/2023Last Updated7/27/2023Contact InformationPractice LocationPractice Address5811 Amaya Dr Ste 204, La Mesa, CA 91942-4156Phone(858) 531-1110FaxUnlisted FaxMailing LocationMailing Address1020 Genter St # 410, La Jolla, CA 92037-5542PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseAMFT137273California