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ODYSSEY FAMILY COUNSELING CENTER CORPORATION NPI 1689604605


NPI Information

NPI: 1689604605
Provider Name: ODYSSEY FAMILY COUNSELING CENTER CORPORATION
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 11D1094277

Address:
1919 JOHN WESLEY AVENUE
COLLEGE PARK, GA
ZIP 30337
Phone: (404) 762-9190
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ODYSSEY FAMILY COUNSELING CENTER CORPORATION is a mental health counselor in College Park, GA. ODYSSEY FAMILY COUNSELING CENTER CORPORATION NPI is 1689604605. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1919 JOHN WESLEY AVENUE
COLLEGE PARK, GA
ZIP 30337
Phone: (404) 762-9190
Fax: (404) 762-9101

The provider's authorized official is Charles Cain Releford .
The authorized official title is Executive Director and has the following contact phone number (404) 762-9190.

The CLIA number assigned to this NPI record is 11D1094277 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 9/14/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)060-013-DGEORGIANo
2101YP2500XCounselorProfessionalNo
3101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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