Provider Demographics
NPI:1437525789
Name:TIENVIERI, STEVEN D II (MA, LPC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:D
Last Name:TIENVIERI
Suffix:II
Gender:M
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 1:2830 CRESCENT COVE DR APT 201
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:CO
Mailing Address - Zip Code:80620-3652
Mailing Address - Country:US
Mailing Address - Phone:970-584-9633
Mailing Address - Fax:
Practice Address - Street 1:3116 CAMANCHE CT
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:CO
Practice Address - Zip Code:80516-2606
Practice Address - Country:US
Practice Address - Phone:970-584-9633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-20
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0018047101YM0800X
COLPC.0018930101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
COLPC.0018930OtherCOLORADO DEPARTMENT OF REGULATORY AGENCIES
COLPCC.0018047OtherCOLORADO DEPARTMENT OF REGULATORY AGENCIES