Melissa Costigan Davis | Bozeman, MT • PECOS Search

Melissa Costigan Davis

Counselor

Behavioral Health & Social Service Providers

321 E Main St, #321, Bozeman, MT 59715-6241

PECOS Enrollment

Based on the most recent information from CMS, provider Melissa Costigan Davis 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
1568648558
Provider Type
Individual
Full Name
Davis, Melissa Costigan
Credential
LCPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/21/2008
Last Updated
10/24/2013

Contact Information

Practice Location

321 E Main St, #321, Bozeman, MT 59715-6241

Unlisted Fax

Mailing Location

511 S 14th Ave, Bozeman, MT 59715-4225

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 1345 Montana