Individual ProviderHenry Garrett MaxwellCounselorBehavioral Health & Social Service ProvidersPractice Address811 Main Ct, Carbondale, CO 81623-1851(970) 704-9292PECOS EnrollmentBased on the most recent information from CMS, provider Henry Garrett Maxwell 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 yesterday at 12:57 PM.Profile DetailsProvider ID1750883161Provider TypeIndividualFull NameMaxwell, Henry GarrettCredentialCAC IIGenderMaleSole ProprietorNoEnumeration Date3/1/2018Last Updated3/1/2018Contact InformationPractice LocationPractice Address811 Main Ct, Carbondale, CO 81623-1851Phone(970) 704-9292FaxUnlisted FaxMailing LocationMailing Address5351 County Road 100, Carbondale, CO 81623-8812PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YA0400XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseACB.0008228Colorado