Individual ProviderMontana Sky BrownCounselorBehavioral Health & Social Service ProvidersPractice Address2 Club Centre Ct, Suite 1, Edwardsville, IL 62025-3503(618) 789-0115PECOS EnrollmentBased on the most recent information from CMS, provider Montana Sky Brown 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 ID1023208535Provider TypeIndividualFull NameBrown, Montana SkyTitleMs.CredentialL.C.P.C.GenderFemaleSole ProprietorYesEnumeration Date7/31/2007Last Updated5/3/2012Contact InformationPractice LocationPractice Address2 Club Centre Ct, Suite 1, Edwardsville, IL 62025-3503Phone(618) 789-0115Fax(618) 656-9084Mailing LocationMailing Address2 Club Centre Ct, Suite 1, Edwardsville, IL 62025-3503Phone(618) 789-0115Fax(618) 656-9084Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense180007283Illinois