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NPI Code Detail

MEDICARE: LINDSAY EDWARDS CDCA

MEDICARE:   LINDSAY  EDWARDS  CDCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA194737OH

General Provider Information

NPI Number : 1871471961
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY EDWARDS CDCA
Provider Business Mailing Address
First Line : 5462 LAMME RD
Second Line :
City : MORAINE
State : OH
Zip : 45439-3217
Country : US
Telephone Number : 937-634-0586
Fax Number :
Provider Business Practice Location Address
First Line : 4977 NORTHCUTT PL
Second Line :
City : DAYTON
State : OH
Zip : 45414-3839
Country : US
Telephone Number : 800-829-5461
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2025
Last Update Date : 02/09/2026

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Directions to “ LINDSAY EDWARDS CDCA” Practice Location

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