Healthcare Provider Details

I. General information

NPI: 1831704386
Provider Name (Legal Business Name): STEVAHNA MADDEN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEVEHNA MADDEN WILLIAMSON

II. Dates (important events)

Enumeration Date: 09/11/2020
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

832 W EISENHOWER BLVD # B2
LOVELAND CO
80537-3134
US

IV. Provider business mailing address

832 W EISENHOWER BLVD # B2
LOVELAND CO
80537-3134
US

V. Phone/Fax

Practice location:
  • Phone: 303-507-9273
  • Fax:
Mailing address:
  • Phone: 303-507-9273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0017857
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0017289
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: