Healthcare Provider Details

I. General information

NPI: 1851723290
Provider Name (Legal Business Name): GLENDA E. SLOAN APC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2013
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 FOREST DR STE 302
COLUMBIA SC
29204-4057
US

IV. Provider business mailing address

3421 MIKE PADGETT HWY
AUGUSTA GA
30906-3815
US

V. Phone/Fax

Practice location:
  • Phone: 833-803-1894
  • Fax:
Mailing address:
  • Phone: 706-432-7893
  • Fax: 706-432-3780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number11730
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPC003190
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: