Provider Demographics
NPI:1215463534
Name:NORRIS, STEPHANIE JOY (MA, LPC, LAC, NCC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:JOY
Last Name:NORRIS
Suffix:
Gender:F
Credentials:MA, LPC, LAC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 E UNION AVE
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2735
Mailing Address - Country:US
Mailing Address - Phone:303-710-3991
Mailing Address - Fax:
Practice Address - Street 1:7900 E UNION AVE
Practice Address - Street 2:SUITE 1100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-2735
Practice Address - Country:US
Practice Address - Phone:303-710-3991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-05
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0013426101YP2500X
CO0000822101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)