Provider Demographics
NPI:1053626804
Name:SLOAN, DAVID M (LMHC)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:M
Last Name:SLOAN
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4905 LANTANA RD
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-6915
Mailing Address - Country:US
Mailing Address - Phone:866-259-0067
Mailing Address - Fax:
Practice Address - Street 1:11900 SE FEDERAL HWY
Practice Address - Street 2:SUITE 212
Practice Address - City:HOBE SOUND
Practice Address - State:FL
Practice Address - Zip Code:33455-5320
Practice Address - Country:US
Practice Address - Phone:772-546-3455
Practice Address - Fax:772-546-3597
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-17
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH7474101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)