Stout

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL # 023-097 Issued in NC

Legal business name

STOUT

Doing business as

T.B Youth Services

Practice address

605 E Grover St
Shelby, NC 28150-4033

Phone

(704) 297-2601

Fax

(704) 482-2081

NPI assigned

Apr 26, 2010

Last updated

Apr 26, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Stephanie Carson

Title

President

Phone

(704) 482-0901

Specialties & licenses 2

Addresses

Other names 1

• T.B Youth Services Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1629395934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 N LAFAYETTE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503832",
            "telephone_number": "704-482-0901",
            "fax_number": "704-482-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504033",
            "telephone_number": "704-297-2601",
            "fax_number": "704-482-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOUT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-482-0901",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL # 023-043",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL # 023-097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T.B Youth Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne Parrish Steptoe, MD
• Leah Beth Stilwell, AGNP
• Jennifer M. Stimpson, M.A.
• Avana L Story, D.M.D.
• Nanci Biggerstaff Stott, NP
• Heather Dawn Stover, LCMHCA
• Deirdre Strange, LCAS-A
• Madison Quinn Strickland, LCMHC
• Megan Raye Strickland, MED. BCBA
• Adara Shari Stroud

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Shelby, NC
• Providers in Shelby, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.