Individual ProviderTimothy John TateCounselorBehavioral Health & Social Service ProvidersPractice Address439 E Main St, Bozeman, MT 59715-4751(406) 586-8158PECOS EnrollmentBased on the most recent information from CMS, provider Timothy John Tate 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 ID1770606733Provider TypeIndividualFull NameTate, Timothy JohnTitleMr.CredentialLCPCGenderMaleSole ProprietorYesEnumeration Date4/6/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address439 E Main St, Bozeman, MT 59715-4751Phone(406) 586-8158FaxUnlisted FaxMailing LocationMailing Address439 E Main St, Bozeman, MT 59715-4751Phone(406) 586-8158FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLCPC #216Montana