| Systems Counseling And Consulting Llc | |
|
602 S Ferguson Ave Ste 6 Bozeman MT 59718-6483 | |
| (406) 404-6291 | |
| (406) 551-4624 |
| Full Name | Systems Counseling And Consulting Llc |
|---|---|
| Speciality | Social Worker |
| Location | 602 S Ferguson Ave Ste 6, Bozeman, Montana |
| Authorized Official Name and Position | Matthew Bryan Luvisi (OWNER/LCSW) |
| Authorized Official Contact | 4064046291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Systems Counseling And Consulting Llc Po Box 6154 Bozeman MT 59771-6154 Ph: (406) 404-6291 | Systems Counseling And Consulting Llc 602 S Ferguson Ave Ste 6 Bozeman MT 59718-6483 Ph: (406) 404-6291 |
| NPI Number | 1477215093 |
|---|---|
| Provider Enumeration Date | 10/11/2021 |
| Last Update Date | 01/25/2022 |
| Certification Date | 01/25/2022 |
| Medicare PECOS PAC ID | 2769870575 |
|---|---|
| Medicare Enrollment ID | O20211028000309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477215093 | NPI | - | NPPES |
| 50482 | Other | MT | MT BOARD OF BEHAVIORAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Matthew Bryan Luvisi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861161788 PECOS PAC ID: 3678961489 Enrollment ID: I20220126001167 |
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