Healthcare Provider Details

I. General information

NPI: 1952221772
Provider Name (Legal Business Name): ROSALYN A SLOAN ALC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5605 CLIFFORD CIR
BIRMINGHAM AL
35210-4453
US

IV. Provider business mailing address

909 52ND WAY N
BIRMINGHAM AL
35212-2439
US

V. Phone/Fax

Practice location:
  • Phone: 205-836-3345
  • Fax:
Mailing address:
  • Phone: 205-529-9945
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: