Odyssey Mental Health Care LLC
Nurse Practitioner, Psych/Mental Health in Carmel, IN. Organization (NPI-2).
NPI number1104592617
StatusActive
Last updated in NPPESAug 7, 2024
Details
- NPI
- 1104592617
- Entity type
- Organization (NPI-2)
- Legal business name
- Odyssey Mental Health Care LLC
- Organization subpart
- No
- Enumeration date
- Aug 17, 2021
- Certification date
- Aug 7, 2024
- Last updated
- Aug 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 103T00000X | Psychologist | – | – | |
| 104100000X | Social Worker | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
3203 Dogwood LnCarmel, IN 46032-9629
Phone 317-827-2987 · Fax 317-219-0879
Mailing address
Po Box 523882C/O The Mailbox #10649
Miami, FL 33152-9265
Phone 317-827-2987 · Fax 317-219-0879
Authorized official
Nicole Davis
Ceo/Owner
3178272987
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