Individual ProviderLinnea Marie WangCounselorBehavioral Health & Social Service ProvidersPractice Address321 E Main St, Suite 402 C, Bozeman, MT 59715-6241(406) 581-8492PECOS EnrollmentBased on the most recent information from CMS, provider Linnea Marie Wang 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 ID1225242035Provider TypeIndividualFull NameWang, Linnea MarieCredentialLCPCGenderFemaleSole ProprietorYesEnumeration Date5/10/2007Last Updated11/18/2011Contact InformationPractice LocationPractice Address321 E Main St, Suite 402 C, Bozeman, MT 59715-6241Phone(406) 581-8492FaxUnlisted FaxMailing LocationMailing Address321 E Main St, Suite 402 C, Bozeman, MT 59715-6241Phone(406) 581-8492Fax(406) 581-8492Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense250MontanaProvider IdentifiersIDDescriptionIssuerID740520DescriptionOtherIssuerBLUE CROSS BLUE SHIELDMontanaID0255459DescriptionMedicaidIssuerUnlistedMontana