MEDICARE: STEPHANIE LYNN PERRI LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0022727	CO

General Provider Information

NPI Number	:	1609695139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE LYNN PERRI LPC

Provider Business Mailing Address
First Line	:	1560 BROADWAY FL 16
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-6000
Country	:	US
Telephone Number	:	719-569-1711
Fax Number	:

Provider Business Practice Location Address
First Line	:	1560 BROADWAY FL 16
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-6000
Country	:	US
Telephone Number	:	719-569-1711
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2024
Last Update Date	:	11/25/2025

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