Individual ProviderKelly GrotskyMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address73302 Highway 111, Palm Desert, CA 92260-3904(760) 773-0669PECOS EnrollmentBased on the most recent information from CMS, provider Kelly Grotsky 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 6 days ago.Profile DetailsProvider ID1679759419Provider TypeIndividualFull NameGrotsky, KellyCredentialL.M.F.T.GenderFemaleSole ProprietorNoEnumeration Date1/10/2008Last Updated1/10/2008Contact InformationPractice LocationPractice Address73302 Highway 111, Palm Desert, CA 92260-3904Phone(760) 773-0669Fax(760) 773-0569Mailing LocationMailing Address73302 Highway 111, Palm Desert, CA 92260-3904Phone(760) 773-0669Fax(760) 773-0569Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFC45241California