Kim Elisabeth Lockwood | Bozeman, MT • PECOS Search

Kim Elisabeth Lockwood

Counselor

Behavioral Health & Social Service Providers

321 E Main St Ste 407, Bozeman, MT 59715-4731

PECOS Enrollment

Based on the most recent information from CMS, provider Kim Elisabeth Lockwood 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
1568557684
Provider Type
Individual
Full Name
Lockwood, Kim Elisabeth
Credential
EDS; LCPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/4/2006
Last Updated
7/8/2007

Contact Information

Practice Location

321 E Main St Ste 407, Bozeman, MT 59715-4731

Unlisted Fax

Mailing Location

6905 Bristol Ln, Bozeman, MT 59715-9506

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 1047 Montana