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Phyllis Catherine Vokey Long

Marriage & Family Therapist

Behavioral Health & Social Service Providers

5575 Lake Park Way, Suite 100, La Mesa, CA 91942-1664

PECOS Enrollment

This provider is enrolled in PECOS as PHYLLIS VOKEY LONG.

Based on the most recent information from CMS, provider Phyllis Catherine Vokey Long is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1841436623
Provider Type
Individual
Full Name
Long, Phyllis Catherine Vokey
Title
Ms.
Credential
MFT

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/26/2008
Last Updated
4/23/2024

Contact Information

Practice Location

5575 Lake Park Way, Suite 100, La Mesa, CA 91942-1664

(619) 920-1240

Unlisted Fax

Mailing Location

5575 Lake Park Way Ste 106, La Mesa, CA 91942-1674

(619) 920-1240

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License MFC43695 California

Phyllis Catherine Vokey Long

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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