Phyliss D. Stout in Fort Payne - Adolescent And Children Mental Health
Phyliss D. Stout - NPI 1073667622
Phyliss D. Stout is a Adolescent And Children Mental Health in Fort Payne, Alabama. Phyliss D. Stout practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for Phyliss D. Stout is 1073667622. The last update date is 2007-07-09.
Phyliss D. Stout's current location address is 300 Gault Ave S, Fort Payne, Alabama. You can contact this provider via phone number 2569979356 and fax number 2569979314. The mailing address for Phyliss D. Stout is 300 Gault Ave S, Fort Payne, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyliss D. Stout |
|---|---|
| Address | 300 Gault Ave S, Fort Payne, Alabama |
| Phone Number | 2569979356 |
| Fax Number | 2569979314 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1073667622 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 300 Gault Ave S |
|---|---|
| City | Fort Payne |
| State | Alabama (AL) |
| Post Code | 359671824 |
| Phone Number | 2569979356 |
| Fax Number | 2569979314 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent And Children Mental Health |
|---|---|
| Taxonomy | 261Qm0855X |
| Licence No | 1592C |
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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 patie |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51553422 | AL | -- | |
| 51553422STO | AL | BCBS OF AL PROVIDER # |
Post Comment/ Review Below
What is the Phyliss D. Stout's 1073667622?
The Phyliss D. Stout's NPI (National Provider Identifier) Number is 1073667622. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Phyliss D. Stout?
The Phyliss D. Stout is situated at 300 Gault Ave S, in the city of Fort Payne, state of AL, with the zip code 359671824.
What is Phyliss D. Stout's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Phyliss D. Stout is Adolescent And Children Mental Health, and the taxonomy code that categorizes this field of expertise is 261Qm0855X.
On what date did the Phyliss D. Stout receive its 1073667622 assignment from the Centers for Medicare & Medicaid Services?
The Phyliss D. Stout was assigned its 1073667622 by the Centers for Medicare & Medicaid Services on 2007-01-22.
As of what date was the information regarding Phyliss D. Stout, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Phyliss D. Stout, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.