Provider Demographics
NPI:1851726079
Name:CHERISH STEPHENS
Entity Type:Organization
Organization Name:CHERISH STEPHENS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH TECH
Authorized Official - Prefix:
Authorized Official - First Name:CHERISH
Authorized Official - Middle Name:A
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-870-6288
Mailing Address - Street 1:3763 S QUINTERO ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-3075
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3763 S QUINTERO ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-3075
Practice Address - Country:US
Practice Address - Phone:720-870-6288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-06
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO251S00000X
CO283Q00000X283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No283Q00000XHospitalsPsychiatric Hospital