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Lisa Ashley Streich

Counselor

Behavioral Health & Social Service Providers

601 Nikles Dr Ste 6, Bozeman, MT 59715-2570

PECOS Enrollment

Based on the most recent information from CMS, provider Lisa Ashley Streich does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1356654057
Provider Type
Individual
Full Name
Streich, Lisa Ashley
Credential
LCPC, LMT

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/22/2010
Last Updated
7/16/2020

Contact Information

Practice Location

601 Nikles Dr Ste 6, Bozeman, MT 59715-2570

(406) 599-3818

Unlisted Fax

Mailing Location

975 Kodiak Pl, Belgrade, MT 59714-9042

(406) 599-3818

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License BBH-LCPC-LIC-43684 Montana
Code 101Y00000X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer Montana
Code 225700000X	Description Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 570343-09 Montana

Lisa Ashley Streich

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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Defanti, Elizabeth Jennie

Mortimer, Christa

Murray, Jodi Michelle

Dahlen, Penny Lin

Livers, Ashley E

Van Antwerp, Jasmine Marie

Yeomans, Benjamin

Holley, Katharine Robinett

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