Healthcare Provider Details

I. General information

NPI: 1376175760
Provider Name (Legal Business Name): CHLOE SIMONE SLOAN LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2020
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

236 N MEBANE ST STE 101
BURLINGTON NC
27217-3955
US

IV. Provider business mailing address

242 CRESTVIEW LN
LEXINGTON NC
27295-8956
US

V. Phone/Fax

Practice location:
  • Phone: 336-436-0074
  • Fax:
Mailing address:
  • Phone: 336-260-7291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number15525
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: