Healthcare Provider Details

I. General information

NPI: 1497866297
Provider Name (Legal Business Name): CAROLYN FAYE SLAGLE RN, MSN, CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 CHESTER BLVD # A5 REID HOSPITAL AND HEALTH CARE SERV
RICHMOND IN
47374-1908
US

IV. Provider business mailing address

226 S 9TH ST
NEW CASTLE IN
47362-4724
US

V. Phone/Fax

Practice location:
  • Phone: 765-983-3298
  • Fax: 765-983-7970
Mailing address:
  • Phone: 765-529-6626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number2180 RU
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number70000124A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: