Healthcare Provider Details

I. General information

NPI: 1487441846
Provider Name (Legal Business Name): MOUNTAIN VISTA PSYCHOLOGY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2025
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8811 E HAMPDEN AVE STE 104
DENVER CO
80231-4931
US

IV. Provider business mailing address

88 INVERNESS CIR E UNIT E103
ENGLEWOOD CO
80112-5511
US

V. Phone/Fax

Practice location:
  • Phone: 720-589-9332
  • Fax:
Mailing address:
  • Phone: 720-583-9332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: STEFFANIE ANNE STECKER
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: PH.D.
Phone: 720-934-5507