Healthcare Provider Details

I. General information

NPI: 1891643409
Provider Name (Legal Business Name): STEPHANIE GUILLAUME COUYOUTE DNP, PMHNP-BC, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9314 FOREST HILL BLVD # 896
WELLINGTON FL
33411-6577
US

IV. Provider business mailing address

9314 FOREST HILL BLVD # 896
WELLINGTON FL
33411-6577
US

V. Phone/Fax

Practice location:
  • Phone: 561-858-1661
  • Fax: 561-448-1149
Mailing address:
  • Phone: 561-858-1661
  • Fax: 561-448-1149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRNRNP345328
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberARNP.AP.70141599-NP
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11045230
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: