MEDICARE: MRS. STEPHANIE F HOTALING LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	309	WY
2	106H00000X	Marriage & Family Therapist	741	CO

General Provider Information

NPI Number	:	1649495565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. STEPHANIE F HOTALING LMFT

Provider Business Mailing Address
First Line	:	2550 STOVER ST UNIT F
Second Line	:	SUITE 103
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-4643
Country	:	US
Telephone Number	:	970-556-0109
Fax Number	:	970-224-4893

Provider Business Practice Location Address
First Line	:	2550 STOVER ST UNIT F
Second Line	:	SUITE 103
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-4643
Country	:	US
Telephone Number	:	970-556-0109
Fax Number	:	970-224-4893

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	04/15/2025

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