Individual ProviderDavid Gregory SmithCounselorBehavioral Health & Social Service ProvidersPractice Address202 S Black Ave, Suite 502, Bozeman, MT 59715-6246(406) 596-2013PECOS EnrollmentBased on the most recent information from CMS, provider David Gregory Smith 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 2 days ago.Profile DetailsProvider ID1033458476Provider TypeIndividualFull NameSmith, David GregoryCredentialMAGenderMaleSole ProprietorYesEnumeration Date2/5/2013Last Updated2/5/2013Contact InformationPractice LocationPractice Address202 S Black Ave, Suite 502, Bozeman, MT 59715-6246Phone(406) 596-2013FaxUnlisted FaxMailing LocationMailing Address202 S Black Ave, Suite 502, Bozeman, MT 59715-6246Phone(406) 596-2013FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense4429MontanaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLH 60174437Washington