Individual ProviderElena SullivanCounselorBehavioral Health & Social Service ProvidersPractice Address115 W Kagy Blvd Ste O, Bozeman, MT 59715-6026(406) 747-0314PECOS EnrollmentBased on the most recent information from CMS, provider Elena Sullivan 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 ID1245070127Provider TypeIndividualFull NameSullivan, ElenaGenderFemaleSole ProprietorYesEnumeration Date5/29/2024Last Updated5/29/2024Contact InformationPractice LocationPractice Address115 W Kagy Blvd Ste O, Bozeman, MT 59715-6026Phone(406) 747-0314FaxUnlisted FaxMailing LocationMailing Address115 W Kagy Blvd Ste O, Bozeman, MT 59715-6026PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense71141Montana