Provider Demographics
NPI:1639503485
Name:SLONE, CARLOS EDWARD (CADC)
Entity Type:Individual
Prefix:
First Name:CARLOS
Middle Name:EDWARD
Last Name:SLONE
Suffix:
Gender:M
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 CONN STREET
Mailing Address - Street 2:
Mailing Address - City:IVEL
Mailing Address - State:KY
Mailing Address - Zip Code:41642
Mailing Address - Country:US
Mailing Address - Phone:606-478-8500
Mailing Address - Fax:
Practice Address - Street 1:71 CONN STREET
Practice Address - Street 2:
Practice Address - City:IVEL
Practice Address - State:KY
Practice Address - Zip Code:41642
Practice Address - Country:US
Practice Address - Phone:606-478-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator