Kimberly Odom, LPC
Counselor, Professional in Augusta, GA. Individual provider (NPI-1).
NPI number1396140331
StatusActive
Last updated in NPPESFeb 21, 2025
Details
- NPI
- 1396140331
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Odom
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 4, 2014
- Certification date
- Feb 21, 2025
- Last updated
- Feb 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 007734 | GA | Yes |
Practice location
1265 Interstate PkwyAugusta, GA 30909-6481
Phone 706-849-3386
Mailing address
465 Winn Way Ste 221Decatur, GA 30030-1723
Phone 888-588-8995
Other practice locations
191 Faith Dr Se
Milledgeville, GA 31061-8327
Milledgeville, GA 31061-8327
Phone 770-712-1743
465 Winn Way Ste 221
Decatur, GA 30030-1723
Decatur, GA 30030-1723
Phone 888-588-8995
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