Individual ProviderMatthew MccoyCounselorBehavioral Health & Social Service ProvidersPractice Address6303 Osgood Ave N, Stillwater, MN 55082-6101(651) 383-4800(651) 387-6060PECOS EnrollmentBased on the most recent information from CMS, provider Matthew Mccoy 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 ID1770989741Provider TypeIndividualFull NameMccoy, MatthewGenderMaleSole ProprietorNoEnumeration Date11/18/2014Last Updated11/18/2014Contact InformationPractice LocationPractice Address6303 Osgood Ave N, Stillwater, MN 55082-6101Phone(651) 383-4800FaxUnlisted FaxMailing LocationMailing Address5139 Humboldt Ave N, Minneapolis, MN 55430-3426Phone(651) 387-6060FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer