Provider Demographics
NPI:1407874571
Name:STOUGH, HENRY K (LPC)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:K
Last Name:STOUGH
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8531 ASHEWORTH DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-8815
Mailing Address - Country:US
Mailing Address - Phone:334-354-9170
Mailing Address - Fax:
Practice Address - Street 1:8531 ASHEWORTH DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-8815
Practice Address - Country:US
Practice Address - Phone:334-354-9170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL456101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional