Individual provider · Type 1 NPI
Phyliss D. Stout, LCSW
Adolescent and Children Mental Health Clinic/Center · Fort Payne, AL
Practice location
300 Gault Ave S
Fort Payne, AL 35967-1824
Fax (256) 997-9314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 1592C (AL) |
| Adolescent and Children Mental Health Clinic/Center Primary | 261QM0855X | 1592C (AL) |
Adolescent and Children Mental Health Clinic/Center: 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 patient in the form of conjoint, group, or individual therapy, and education and/or training.
2 other providers at this address
Other adolescent and children mental health clinic/center providers in Fort Payne
About NPI 1073667622
Phyliss D. Stout, LCSW's National Provider Identifier is 1073667622, issued on Jan 22, 2007. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Fort Payne, AL. The record was last updated on Sep 11, 2025.