OrganizationHannah Wilson Lcpc, Llc(<Unavail>)CounselorBehavioral Health & Social Service ProvidersPractice Address2050 Fairway Dr Ste 202, Bozeman, MT 59715-5810(406) 595-5855(406) 461-1650PECOS EnrollmentBased on the most recent information from CMS, provider Hannah Wilson Lcpc, 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 2 days ago.Profile DetailsProvider ID1407417082Provider TypeOrganizationFull NameHannah Wilson Lcpc, LlcOther Name<Unavail>SubpartNoEnumeration Date6/25/2019Last Updated12/11/2020Contact InformationPractice LocationPractice Address2050 Fairway Dr Ste 202, Bozeman, MT 59715-5810Phone(406) 595-5855FaxUnlisted FaxMailing LocationMailing AddressPO Box 512, Bozeman, MT 59771-0512Phone(406) 461-1650FaxUnlisted FaxAuthorized OfficialNameWilson, Hannah Rachael (Owner)Phone(406) 595-5855Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer