Tarea Stout, LPC

Professional Counselor · Clinton, MS

Individual Active NPI

NPI number 1063997955

Practice location

604 Highway 80 W Ste R
Clinton, MS 39056-4108
Phone
(601) 664-8683

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NPI record

NPI
1063997955
Entity type
Individual (Type 1)
Enumeration date
September 26, 2018
Last updated
June 13, 2023
Certified
June 13, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Professional Counselor Primary 101YP2500X 493 MS

Mailing address

213 Paxton CV
Madison, MS 39110-8900
Phone
(601) 664-8683

Other practice locations (1)

  • 7570 Old Canton Rd Ste 102, Madison, MS 39110-6100 · (601) 809-5324

About Tarea Stout

Tarea Stout, LPC is a healthcare provider registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 604 Highway 80 W Ste R, Clinton, MS 39056-4108. The NPI number 1063997955 was assigned on September 26, 2018 and the record was last updated on June 13, 2023.

Tarea Stout lists a license in the registry: #493 (MS) for Professional Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tarea Stout, LPC?

The NPI number is 1063997955.

What is the phone number of Tarea Stout?

The phone number listed for the practice location is (601) 664-8683.

Where is Tarea Stout located?

604 Highway 80 W Ste R, Clinton, MS 39056-4108.

What is the taxonomy code for Tarea Stout?

The primary taxonomy code is 101YP2500X – Professional Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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