Provider Demographics
NPI:1417013541
Name:HELSEL, STEPHANIE LEWIS (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:LEWIS
Last Name:HELSEL
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4141 ARAPAHOE AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-1032
Mailing Address - Country:US
Mailing Address - Phone:303-402-9036
Mailing Address - Fax:303-442-3720
Practice Address - Street 1:4141 ARAPAHOE AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-1032
Practice Address - Country:US
Practice Address - Phone:303-402-9036
Practice Address - Fax:303-442-3720
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC 897101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO057773OtherVALUE OPTIONS PROVIDER #