| Tarea Stout, LPC | |
|
604 Highway 80 W Ste R, Clinton, MS 39056-4108 | |
| (601) 664-8683 | |
| Not Available |
| Full Name | Tarea Stout |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 33 Years |
| Location | 604 Highway 80 W Ste R, Clinton, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063997955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 493 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Coaching Clinic | 9638618416 | 2 |
| Entity Name | Family Coaching Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730869892 PECOS PAC ID: 9638618416 Enrollment ID: O20240823002883 |
| Mailing Address | Practice Location Address |
|---|---|
| Tarea Stout, LPC 213 Paxton Cv, Madison, MS 39110-8900 Ph: (601) 664-8683 | Tarea Stout, LPC 604 Highway 80 W Ste R, Clinton, MS 39056-4108 Ph: (601) 664-8683 |
James Pittman, MS,PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 604 Highway 80 W, Clinton, MS 39056 Phone: 601-473-2106 Fax: 601-473-2150 | |
Prof. Brittany Deanna Ducksworth, CMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 604 Highway 80 W Ste R, Clinton, MS 39056 Phone: 601-473-2106 Fax: 601-473-2150 | |
Marisa Finlayson, P-LPC, NCC, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 604 Highway 80 W Ste R, Clinton, MS 39056 Phone: 601-473-2106 Fax: 601-473-2150 | |
Mr. Jessie Johnson Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 604 Highway 80 W Ste R, Clinton, MS 39056 Phone: 601-473-2106 | |
Stephanie Nicole Owen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 604 Highway 80 W Ste R, Clinton, MS 39056 Phone: 601-473-2106 | |
Jessica L Jones, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 313 Indian Mound Rd, Clinton, MS 39056 Phone: 817-807-5010 |