Provider Demographics
NPI:1215689500
Name:STEHLING, PAUL (LAC)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:STEHLING
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:PAUL
Other - Middle Name:
Other - Last Name:STEHLING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:1355 S COLORADO BLVD STE C100
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-3358
Mailing Address - Country:US
Mailing Address - Phone:303-756-9052
Mailing Address - Fax:303-756-0308
Practice Address - Street 1:1355 S COLORADO BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-3305
Practice Address - Country:US
Practice Address - Phone:303-756-9052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-19
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA17280101YP2500X
COACD.0002278101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional