Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. PHYLISS D. STOUT, LCSW
Active Sole ProprietorMRS. PHYLISS D. STOUT, LCSW is a Adolescent and Children Mental Health Clinic healthcare provider located in FORT PAYNE, Alabama. NPI 1073667622 is currently active in the NPPES registry. Verify at CMS.
Adolescent and Children Mental Health Clinic · FORT PAYNE, AL
Registration Details
- NPI Number
- 1073667622
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 22, 2007 (19.515209910801 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
1592C (AL)1592C (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 GAULT AVE SFORT PAYNE, AL, 359671824Browse AL providers · Browse ZIP 35967
- Phone
- 2569979356
- Fax
- 2569979314
- Primary Specialty
-
Adolescent and Children Mental Health Clinic
261QM0855X
- Additional Specialty
- Adolescent and Children Mental Health Clinic
Other Adolescent and Children Mental Health Clinic Providers in FORT PAYNE, AL
| Name | Credential | NPI |
|---|---|---|
| MR. RONALD R BOWEN | LCSW | 1639223266 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.