Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Edwards

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1497609705

Kimberly Edwards is an Addiction (Substance Use Disorder) Counselor in Shirley, New York. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2 Coraci Blvd Ste 15&16
Shirley, NY 11967-4833
Phone: (631) 696-4357
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1497609705
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedFebruary 24, 2026
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026
Mailing address1377 Motor Pkwy Ste 102, Islandia, NY 11749-5249

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