Stout, Amanda

Stout, Amanda is an individual health care provider with primary practice located at 750 Broadway Ave E , Mattoon IL 61938-4610. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Stout, Amanda can be contacted via phone (217) 238-5700.

Contact Information

Primary practice address
750 Broadway Ave E Mattoon IL 61938-4610
Phone: (217) 238-5700
Fax: (217) 238-5767
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1477097210
LBN Legal business name Stout, Amanda
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2016
Last updated Jul 31st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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