Individual ProviderLisa AxelrodMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address73567 Fred Waring Dr, Palm Desert, CA 92260(760) 772-6745PECOS EnrollmentBased on the most recent information from CMS, provider Lisa Axelrod 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 ID1699874149Provider TypeIndividualFull NameAxelrod, LisaTitleMs.CredentialMFTGenderFemaleSole ProprietorNoEnumeration Date9/21/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address73567 Fred Waring Dr, Palm Desert, CA 92260Phone(760) 772-6745Fax(860) 772-6745Mailing LocationMailing AddressPO Box 11314, Palm Desert, CA 92255-1314Phone(760) 772-6745Fax(760) 772-6745Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFC21161CaliforniaProvider IdentifiersIDDescriptionIssuerID33BGC7DescriptionMedicaidIssuerUnlistedCalifornia