Individual ProviderMisty A PerrySocial WorkerBehavioral Health & Social Service ProvidersPractice Address2255 Midpoint Dr, Fort Collins, CO 80525-4306(970) 498-7488PECOS EnrollmentBased on the most recent information from CMS, provider Misty A Perry 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 3 days ago.Profile DetailsProvider ID1760074686Provider TypeIndividualFull NamePerry, Misty ACredentialLCSW, CACIIIGenderFemaleSole ProprietorNoEnumeration Date2/11/2021Last Updated2/11/2021Contact InformationPractice LocationPractice Address2255 Midpoint Dr, Fort Collins, CO 80525-4306Phone(970) 498-7488FaxUnlisted FaxMailing LocationMailing Address2255 Midpoint Dr, Fort Collins, CO 80525-4306Phone(970) 498-7488FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCSW00002024ColoradoCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseACC0006921Colorado