Healthcare Provider Details

I. General information

NPI: 1447009238
Provider Name (Legal Business Name): WINDY SLAUGHTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2024
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

729 6TH ST
PORTSMOUTH OH
45662-4030
US

IV. Provider business mailing address

519 COURT ST
PORTSMOUTH OH
45662-3933
US

V. Phone/Fax

Practice location:
  • Phone: 740-876-8290
  • Fax: 740-529-1205
Mailing address:
  • Phone: 740-876-4370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.188468
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: