Healthcare Provider Details

I. General information

NPI: 1871424481
Provider Name (Legal Business Name): STEPHANIE BRUMMOND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 W 29TH AVE
DENVER CO
80211-3844
US

IV. Provider business mailing address

3500 SHERIDAN BLVD
DENVER CO
80212-2050
US

V. Phone/Fax

Practice location:
  • Phone: 720-443-2530
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFTC.0014589
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: