Healthcare Provider Details

I. General information

NPI: 1609695139
Provider Name (Legal Business Name): STEPHANIE LYNN PERRI LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2024
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1190 US HIGHWAY 287
BROOMFIELD CO
80020-7021
US

IV. Provider business mailing address

2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND CO
80538-9071
US

V. Phone/Fax

Practice location:
  • Phone: 303-544-3800
  • Fax: 303-544-3810
Mailing address:
  • Phone: 970-624-4127
  • Fax: 970-490-4173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0022727
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: