Individual ProviderStephanie CoyleMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5520 Wellesley St Ste 100, La Mesa, CA 91942-4401(619) 466-0547PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Coyle 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 ID1649803750Provider TypeIndividualFull NameCoyle, StephanieCredentialLMFTGenderFemaleSole ProprietorNoEnumeration Date2/17/2020Last Updated2/17/2020Contact InformationPractice LocationPractice Address5520 Wellesley St Ste 100, La Mesa, CA 91942-4401Phone(619) 466-0547FaxUnlisted FaxMailing LocationMailing Address5520 Wellesley St Ste 100, La Mesa, CA 91942-4401Phone(619) 466-0547FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense85956California