Mrs. Phyliss D. Stout, LCSW - Fort Payne, AL

Mrs. Phyliss D. Stout, LCSW

Adolescent and Children Mental Health Clinic/Center in Fort Payne, Alabama

NPI 1073667622

Phyliss D. Stout is an Adolescent and Children Mental Health Clinic/Center based in Fort Payne, AL and is specialized in Adolescent and Children Mental Health. Phyliss D. Stout practices in Fort Payne, AL and has the professional credentials of LCSW. The NPI Number for Phyliss D. Stout is 1073667622 and holds a License No. 1592C (Alabama).

The current practice location address for Phyliss D. Stout is 300 Gault Ave S, Fort Payne, AL and can be reached out via phone at 256-997-9356 and via fax at 256-997-9314.

Location: 300 Gault Ave S, Fort Payne, AL, 35967-1824

NPI Number

1073667622

Provider Name

Phyliss D. Stout

Credential

LCSW

Provider Entity Type

Individual

Gender

Female

Address

300 Gault Ave S, Fort Payne, AL, 35967-1824

Phone Number

256-997-9356

Fax Number

256-997-9314

Provider Enumeration Date

01/22/2007

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
51553422	05	AL
51553422STO	01	AL	BCBS OF AL PROVIDER #

Address

300 Gault Ave S

City

Fort Payne

State

Alabama

Zip

35967-1824

Phone Number

256-997-9356

Fax Number

256-997-9314

Address

300 Gault Ave S

City

Fort Payne

State

Alabama

Zip

35967-1824

Phone Number

256-997-9356

Fax Number

256-997-9314

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Adult Mental Health

Taxonomy

261QM0850X

License No.

1592C (Alabama)

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Adolescent and Children Mental Health

Taxonomy

261QM0855X

License No.

1592C (Alabama)

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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