Healthcare Provider Details

I. General information

NPI: 1013496835
Provider Name (Legal Business Name): STEPHENY N LAMBLIN LPC, LAC,NCC, EMDRC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHENY N CHAPPLE LPC, LAC,NCC, EMDRC

II. Dates (important events)

Enumeration Date: 08/13/2018
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 W OAK ST STE 280
FORT COLLINS CO
80524-2877
US

IV. Provider business mailing address

140 W OAK ST STE 280
FORT COLLINS CO
80524-2877
US

V. Phone/Fax

Practice location:
  • Phone: 970-430-6522
  • Fax: 970-797-1009
Mailing address:
  • Phone: 970-430-6522
  • Fax: 970-797-1009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.00173613
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACD.0001407
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: