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

MS. Kimberly Robin Outlaw, LCAS-A

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1821462292

MS. Kimberly Robin Outlaw, LCAS-A is an Addiction (Substance Use Disorder) Counselor in LA Grange, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2015

Practice location Address checks out

3367 Ponderosa Dr
LA Grange, NC 28551-8067
Phone: (252) 566-9125
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 · Licence 20276 (NC)

Record details

NPI number1821462292
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCAS-A
Sole proprietorYes
NPI enumeratedNovember 21, 2015
Last updated in NPPESNovember 21, 2015

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