Kimberly Lou Eddy in Simi Valley - Addiction (substance Use Disorder)

Kimberly Lou Eddy - NPI 1265600597

Kimberly Lou Eddy is a Addiction (substance Use Disorder) in Simi Valley, California. Kimberly Lou Eddy practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kimberly Lou Eddy is 1265600597. The last update date is 2023-02-09.

Kimberly Lou Eddy's current location address is 2650 Jones Way Ste 10, Simi Valley, California. You can contact this provider via phone number 8055221844 and fax number 8055225345. The mailing address for Kimberly Lou Eddy is 2650 Jones Way Ste 10, Simi Valley, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimberly Lou Eddy
Address 2650 Jones Way Ste 10, Simi Valley, California
Phone Number 8055221844
Fax Number 8055225345
Sole Proprietor Y
Credentials M.A.

NPI Number Detail

NPI Number 1265600597
Provider Enumeration Date 2008-02-20
Last Updated Date 2023-02-09

Provider Mailing Address Detail

Address 2650 Jones Way Ste 10
City Simi Valley
State California (CA)
Post Code 930651215
Phone Number 8055221844
Fax Number 8055225345

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
25043 CA PSYCHOLOGIST
25043 CA CA BOARD OF PSYCHOLOGY

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FAQs about Kimberly Lou Eddy

What is the unique 10-digit identifier code assigned to Kimberly Lou Eddy by the Centers for Medicare & Medicaid Services?

The Kimberly Lou Eddy has been issued the NPI (National Provider Identifier) 1265600597 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Kimberly Lou Eddy located?

The Kimberly Lou Eddy is located at 2650 Jones Way Ste 10, Simi Valley, CA 930651215.

What is the Kimberly Lou Eddy's area of specialization and corresponding taxonomy classification?

The Kimberly Lou Eddy's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1265600597 to Kimberly Lou Eddy?

The Centers for Medicare & Medicaid Services assigned the 1265600597 to Kimberly Lou Eddy on 2008-02-20.

When was the information regarding Kimberly Lou Eddy, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kimberly Lou Eddy, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-02-09.

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