Provider Demographics
NPI:1225990716
Name:GILLOTTE, STEPHANIE PAULA (LPC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:PAULA
Last Name:GILLOTTE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 E POLK ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-6267
Mailing Address - Country:US
Mailing Address - Phone:719-799-8758
Mailing Address - Fax:
Practice Address - Street 1:111 E POLK ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-6267
Practice Address - Country:US
Practice Address - Phone:719-799-8758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-02
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0022882101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health