Provider Demographics
NPI:1124284641
Name:STEPHANIE CAMINS COUNSELING
Entity type:Organization
Organization Name:STEPHANIE CAMINS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMINS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:303-380-5526
Mailing Address - Street 1:7985 VANCE DR STE 106B
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-2120
Mailing Address - Country:US
Mailing Address - Phone:303-380-5526
Mailing Address - Fax:303-432-2632
Practice Address - Street 1:7985 VANCE DR STE 106B
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-2120
Practice Address - Country:US
Practice Address - Phone:303-380-5526
Practice Address - Fax:303-432-2632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-04
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4847101YP2500X
CO4210101YP2500X
CO3338101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty