1. Home
  2. Directory
  3. Alabama
  4. Fort Payne
  5. Clinic Center
  6. NPI Profile

MRS. PHYLISS D. STOUT LCSW
NPI 1073667622
Clinic/Center - Adolescent and Children Mental Health in Fort Payne, AL

Active since January 22, 2007
300 GAULT AVE S, FORT PAYNE, AL 35967(256) 997-9356(256) 997-9314 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Phyliss D. Stout Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. PHYLISS D. STOUT LCSW (NPI 1073667622) is an individual adolescent and children mental health provider in Fort Payne, Alabama, licensed in Alabama (1592C) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1073667622
Entity TypeIndividualFemale
Primary Taxonomy261QM0855X
Provider Legal NameMRS. PHYLISS D. STOUTCredential: LCSW
Location Address300 GAULT AVE SFort Payne, AL 35967-1824
Mailing Address300 Gault Ave SFort Payne, AL 35967-1824 · (256) 997-9356 · Fax (256) 997-9314
Phone(256) 997-9356
Fax(256) 997-9314
Sole ProprietorYes
Enumeration DateJanuary 22, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1073667622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in AL · 1592C
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 patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License 1592C (AL)
300 GAULT AVE S, Fort Payne, AL 35967
Open in Google Maps ↗

Other Identifiers 2

Medicaid51553422AL
Other51553422STOAL · Bcbs Of Al Provider #

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RONALD R BOWEN LCSW
Clinic/Center (Adolescent and Children Mental Health)
300 GAULT AVE S
FORT PAYNE, AL 35967
Dekalb County (256) 997-9356
FAMILY LIFE CENTER, INC.
Clinic/Center (Adolescent and Children Mental Health)
300 GAULT AVE S
FORT PAYNE, AL 35967
Dekalb County (256) 997-9356

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phyliss Stout's NPI number?

The NPI number for Phyliss Stout is 1073667622. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Phyliss Stout located?

Phyliss Stout practices at 300 Gault Ave S, Fort Payne, AL 35967. The listed phone number is (256) 997-9356.

What is Phyliss Stout's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Phyliss Stout was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.