Individual ProviderPhillip CleaverMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address3662 Katella Ave Ste 209, Los Alamitos, CA 90720-6404(323) 920-5013PECOS EnrollmentBased on the most recent information from CMS, provider Phillip Cleaver 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 yesterday at 9:43 AM.Profile DetailsProvider ID1821556291Provider TypeIndividualFull NameCleaver, PhillipCredentialLMFTGenderMaleSole ProprietorYesEnumeration Date3/5/2019Last Updated9/5/2024Contact InformationPractice LocationPractice Address3662 Katella Ave Ste 209, Los Alamitos, CA 90720-6404Phone(323) 920-5013FaxUnlisted FaxMailing LocationMailing Address3662 Katella Ave Ste 209, Los Alamitos, CA 90720-6404Phone(323) 920-5013FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense108929California