| Odyssey Mental Health Care Llc | |
|
3203 Dogwood Ln Carmel IN 46032-9629 | |
| (317) 827-2987 | |
| (317) 219-0879 |
| Full Name | Odyssey Mental Health Care Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3203 Dogwood Ln, Carmel, Indiana |
| Authorized Official Name and Position | Nicole Davis (CEO/OWNER) |
| Authorized Official Contact | 3178272987 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Odyssey Mental Health Care Llc Po Box 523882 C/o The Mailbox #10649 Miami FL 33152-9265 Ph: (317) 827-2987 | Odyssey Mental Health Care Llc 3203 Dogwood Ln Carmel IN 46032-9629 Ph: (317) 827-2987 |
| NPI Number | 1104592617 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 08/07/2024 |
| Certification Date | 08/07/2024 |
| Medicare PECOS PAC ID | 9739584897 |
|---|---|
| Medicare Enrollment ID | O20210827000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104592617 | NPI | - | NPPES |
| Provider Name | John D Heflin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457555831 PECOS PAC ID: 9335306455 Enrollment ID: I20120201000530 |
| Provider Name | Kyle Merrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851076939 PECOS PAC ID: 7810357589 Enrollment ID: I20230713002655 |
| Provider Name | Anike Abidemi Olawoyin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235908187 PECOS PAC ID: 6709220882 Enrollment ID: I20240216000805 |
| Provider Name | Lauren Alexaundra Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083468219 PECOS PAC ID: 5698114908 Enrollment ID: I20240419001055 |
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