Healthcare Provider Details

I. General information

NPI: 1215463534
Provider Name (Legal Business Name): STEPHANIE JOY NORRIS MA, LPC, LAC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2017
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7340 E CALEY AVE STE 300
CENTENNIAL CO
80111-6710
US

IV. Provider business mailing address

7340 E CALEY AVE STE 300
CENTENNIAL CO
80111-6710
US

V. Phone/Fax

Practice location:
  • Phone: 303-710-3991
  • Fax:
Mailing address:
  • Phone: 303-710-3991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0013426
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0000822
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: