Healthcare Provider Details

I. General information

NPI: 1336799881
Provider Name (Legal Business Name): KIMBERLY L CURL CDCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2019
Last Update Date: 02/27/2024
Certification Date: 02/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19350 EUCLID AVE
CLEVELAND OH
44117-1425
US

IV. Provider business mailing address

2260 PAR LN APT 514
WILLOUGHBY HILLS OH
44094-2948
US

V. Phone/Fax

Practice location:
  • Phone: 216-881-0765
  • Fax:
Mailing address:
  • Phone: 440-825-1474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.181042
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: