Provider Demographics
NPI:1700086345
Name:BENTLEY, STEPHEN N (LCSW, CAC III)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:N
Last Name:BENTLEY
Suffix:
Gender:M
Credentials:LCSW, CAC III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 E FLORIDA AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-2543
Mailing Address - Country:US
Mailing Address - Phone:303-758-1950
Mailing Address - Fax:303-758-1960
Practice Address - Street 1:3801 E FLORIDA AVE STE 400
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-2543
Practice Address - Country:US
Practice Address - Phone:303-758-1950
Practice Address - Fax:303-758-1960
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO989654101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health