| Odyssey Mental Wellness Pc | |
|
482 Constitution Way Ste 109 Idaho Falls ID 83402-3568 | |
| (208) 696-2628 | |
| Not Available |
| Full Name | Odyssey Mental Wellness Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 482 Constitution Way Ste 109, Idaho Falls, Idaho |
| Authorized Official Name and Position | Mitchell Barney (OWNER) |
| Authorized Official Contact | 2086962628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odyssey Mental Wellness Pc 482 Constitution Way Ste 109 Idaho Falls ID 83402-3568 Ph: () - | Odyssey Mental Wellness Pc 482 Constitution Way Ste 109 Idaho Falls ID 83402-3568 Ph: (208) 696-2628 |
| NPI Number | 1023831468 |
|---|---|
| Provider Enumeration Date | 11/04/2024 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023831468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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