Look up the most recent NPI and PECOS records

Elizabeth Jennie Defanti

Counselor

Behavioral Health & Social Service Providers

353 Evening Star Ln, Bozeman, MT 59715-2108

PECOS Enrollment

Based on the most recent information from CMS, provider Elizabeth Jennie Defanti 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
1922327915
Provider Type
Individual
Full Name
Defanti, Elizabeth Jennie
Gender
Female

Sole Proprietor
No
Enumeration Date
5/31/2010
Last Updated
5/31/2010

Contact Information

Practice Location

353 Evening Star Ln, Bozeman, MT 59715-2108

(406) 586-9904

Unlisted Fax

Mailing Location

353 Evening Star Ln, Bozeman, MT 59715-2108

(406) 586-9904

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 1415 Montana
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License 0017525-1 New York
Code 101YP2500X	Description Counselor Behavioral Health & Social Service Providers	License 6566 North Carolina

Elizabeth Jennie Defanti

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Hood Dayhuff, Marilyn

Leach, Pamela Anne

Pauli, Rebekah Rose

Grigry, Karen Sue

Menanno, Julie

Bateman, Jonathan

Staben, Carol Burroughs

Regnier, Katherine

Anderson, Jenenne Howell

Strom, Peter