Lacee Ann George Gengenbacher | Bozeman, MT • PECOS Search

Lacee Ann George Gengenbacher

Counselor

Behavioral Health & Social Service Providers

19 N 10th Ave Ste 5, Bozeman, MT 59715-3260

PECOS Enrollment

Based on the most recent information from CMS, provider Lacee Ann George Gengenbacher 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
1376804526
Provider Type
Individual
Full Name
Gengenbacher, Lacee Ann George
Credential
MS

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/5/2012
Last Updated
11/7/2024

Contact Information

Practice Location

19 N 10th Ave Ste 5, Bozeman, MT 59715-3260

Unlisted Fax

Mailing Location

311 Michael Grove Ave Apt A, Bozeman, MT 59718-3682

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 4689 Montana