Healthcare Provider Details

I. General information

NPI: 1558046763
Provider Name (Legal Business Name): STEPHANIE ANNE SCHROEDER NCC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2023
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7535 E HAMPDEN AVE STE 352
DENVER CO
80231-4838
US

IV. Provider business mailing address

749 SNOWBIRD LN
LAFAYETTE CO
80026-3442
US

V. Phone/Fax

Practice location:
  • Phone: 720-443-1021
  • Fax:
Mailing address:
  • Phone: 303-246-6181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0019398
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: