Provider Demographics
NPI:1518723360
Name:CYR, STEPHEN (LPCC)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:CYR
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5994 S HOLLY ST # 100
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4221
Mailing Address - Country:US
Mailing Address - Phone:214-632-0336
Mailing Address - Fax:
Practice Address - Street 1:6036 S MONACO WAY
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-4457
Practice Address - Country:US
Practice Address - Phone:214-632-0336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0021798101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health