Stout, Phyliss D.

Stout, Phyliss D. is an sole proprietor health care provider with primary practice located at 300 Gault Ave S , Fort Payne AL 35967-1824. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is her primary health care specialty. Stout, Phyliss D. can be contacted via phone (256) 997-9356.

Contact Information

Primary practice address
300 Gault Ave S Fort Payne AL 35967-1824
Phone: (256) 997-9356
Fax: (256) 997-9314
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 1592C Alabama
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 1592C Alabama

Profile Details

NPI number 1073667622
LBN Legal business name Stout, Phyliss D.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Jul 9th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073667622 NPPES
Alabama MEDICAID 51553422
Alabama Other 51553422STO

Popular Providers