IndividualActive
Phyliss Stout, LCSW
NPI 1073667622 · Adolescent and Children Mental Health Clinic/Center · Fort Payne, AL
Provider details
- NPI number
- 1073667622
- Entity type
- Individual
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1592C (AL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
300 Gault Ave S
Fort Payne, AL 35967-1824
Phone: (256) 997-9356
Fax: (256) 997-9314
Approximate (ZIP-level) locationGet directions
Mailing address
300 Gault Ave S
Fort Payne, AL 35967-1824
Registry dates
- Enumerated
- 2007-01-22
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.