Individual provider · Type 1 NPI

Kimberly Edwards

Addiction (Substance Use Disorder) Counselor · Shirley, NY

NPI number 1497609705 Active

Practice location

2 Coraci Blvd Ste 15&16
Shirley, NY 11967-4833

Call (631) 696-4357 Map

Mailing address

1377 Motor Pkwy Ste 102
Islandia, NY 11749-5249

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1497609705

Kimberly Edwards's National Provider Identifier is 1497609705, issued on Feb 24, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shirley, NY. The record was last updated on Feb 24, 2026.