| Odyssey Health Group, Inc | |
|
525 N Tryon St Ste 1600 Charlotte NC 28202-0213 | |
| (704) 331-3959 | |
| (800) 381-1472 |
| Full Name | Odyssey Health Group, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 525 N Tryon St Ste 1600, Charlotte, North Carolina |
| Authorized Official Name and Position | Ashley Nicole Cross (CEO) |
| Authorized Official Contact | 9807222270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Odyssey Health Group, Inc 525 N Tryon St Ste 1600 Charlotte NC 28202-0213 Ph: (704) 331-3959 | Odyssey Health Group, Inc 525 N Tryon St Ste 1600 Charlotte NC 28202-0213 Ph: (704) 331-3959 |
| NPI Number | 1952707309 |
|---|---|
| Provider Enumeration Date | 11/12/2014 |
| Last Update Date | 09/03/2020 |
| Certification Date | 09/03/2020 |
| Medicare PECOS PAC ID | 8325326887 |
|---|---|
| Medicare Enrollment ID | O20161103001614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952707309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Ashley Nicole Cross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336429935 PECOS PAC ID: 9234417791 Enrollment ID: I20161103001806 |
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