Provider Demographics
NPI:1225647910
Name:SLOANE, MARIE ELAINE (LPC, PMH-C)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:ELAINE
Last Name:SLOANE
Suffix:
Gender:F
Credentials:LPC, PMH-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4053 W CREEDANCE BLVD
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85310-4068
Mailing Address - Country:US
Mailing Address - Phone:505-360-0922
Mailing Address - Fax:
Practice Address - Street 1:10675 E MERCER LN
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85259-3849
Practice Address - Country:US
Practice Address - Phone:505-360-0922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-28
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-18657101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health