Individual ProviderSusanne EisenhartMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address12421 Hesperia Rd Ste 2, Victorville, CA 92395-7704(760) 243-5417PECOS EnrollmentBased on the most recent information from CMS, provider Susanne Eisenhart 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 ID1679218887Provider TypeIndividualFull NameEisenhart, SusanneGenderFemaleSole ProprietorNoEnumeration Date5/2/2022Last Updated3/5/2025Contact InformationPractice LocationPractice Address12421 Hesperia Rd Ste 2, Victorville, CA 92395-7704Phone(760) 243-5417FaxUnlisted FaxMailing LocationMailing Address12421 Hesperia Rd Ste 2, Victorville, CA 92395-7704Phone(760) 243-5417FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer