Healthcare Provider Details

I. General information

NPI: 1568381002
Provider Name (Legal Business Name): MYSTERIUM COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 W LITTLETON BLVD
LITTLETON CO
80120-2021
US

IV. Provider business mailing address

9888 THORNBURY WAY
HIGHLANDS RANCH CO
80129-6959
US

V. Phone/Fax

Practice location:
  • Phone: 509-480-2612
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: PETER STEELE
Title or Position: OWNER
Credential:
Phone: 509-480-2612