MEDICARE: EBONY VINNETTE TROTTER

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1225908221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EBONY VINNETTE TROTTER

Provider Business Mailing Address
First Line	:	731 N WEBER ST STE 205
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-1058
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	731 N WEBER ST STE 205
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-1058
Country	:	US
Telephone Number	:	719-362-0558
Fax Number	:

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

Provider Enumeration Date	:	11/06/2025
Last Update Date	:	11/06/2025

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Directions to “ EBONY VINNETTE TROTTER ” Practice Location

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