| Odyessey Webb Pllc | |
|
946 Pecan Grove Loop Hope Mills NC 28348-8147 | |
| (917) 569-8752 | |
| Not Available |
| Full Name | Odyessey Webb Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 946 Pecan Grove Loop, Hope Mills, North Carolina |
| Authorized Official Name and Position | Odyessey Webb (OWNER) |
| Authorized Official Contact | 9175698752 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Odyessey Webb Pllc 946 Pecan Grove Loop Hope Mills NC 28348-8147 Ph: (917) 569-8752 | Odyessey Webb Pllc 946 Pecan Grove Loop Hope Mills NC 28348-8147 Ph: (917) 569-8752 |
| NPI Number | 1215793526 |
|---|---|
| Provider Enumeration Date | 02/23/2024 |
| Last Update Date | 01/28/2025 |
| Certification Date | 01/28/2025 |
| Medicare PECOS PAC ID | 0345774584 |
|---|---|
| Medicare Enrollment ID | O20241112000348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215793526 | NPI | - | NPPES |
| RG-6MYYYW9RK | Medicaid | NC |
| Provider Name | Odyessey Webb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063797132 PECOS PAC ID: 1254865496 Enrollment ID: I20241112000409 |
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