Healthcare Provider Details

I. General information

NPI: 1669233094
Provider Name (Legal Business Name): STEPHANIE ZEHNTNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2024
Last Update Date: 01/22/2024
Certification Date: 01/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 TENNYSON ST
DENVER CO
80212-3029
US

IV. Provider business mailing address

2930 N YORK ST
DENVER CO
80205-4657
US

V. Phone/Fax

Practice location:
  • Phone: 303-433-2541
  • Fax:
Mailing address:
  • Phone: 208-680-9941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC.0020198
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: