OrganizationMatthew Bouse Therapy, Llc(<Unavail>)Social WorkerBehavioral Health & Social Service ProvidersPractice Address202 E Washington St Ste 508, Ann Arbor, MI 48104-2017(734) 999-0013PECOS EnrollmentBased on the most recent information from CMS, provider Matthew Bouse Therapy, Llc 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 yesterday at 9:43 AM.Profile DetailsProvider ID1285489112Provider TypeOrganizationFull NameMatthew Bouse Therapy, LlcOther Name<Unavail>SubpartNoEnumeration Date4/23/2024Last Updated12/9/2024Contact InformationPractice LocationPractice Address202 E Washington St Ste 508, Ann Arbor, MI 48104-2017Phone(734) 999-0013FaxUnlisted FaxMailing LocationMailing Address202 E Washington St Ste 508, Ann Arbor, MI 48104-2017Phone(734) 999-0013FaxUnlisted FaxAuthorized OfficialNameBouse, Matthew Maximino (Owner)Phone(734) 999-0013Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer