1. Home
  2. Directory
  3. South Carolina
  4. Conway
  5. Counselor
  6. NPI Profile

LARY ODOM
NPI 1811913783
Counselor in Conway, SC

Active since July 14, 2006
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526(843) 347-5060 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lary Odom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARY ODOM (NPI 1811913783) is an individual counselor in Conway, South Carolina and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1811913783
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameLARY ODOM
Location Address164 WACCAMAW MEDICAL PARK DRConway, SC 29526-8903
Mailing Address109 Us Highway 521Andrews, SC 29510-5476 · (843) 221-4115
Phone(843) 347-5060
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1811913783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
164 WACCAMAW MEDICAL PARK DR, Conway, SC 29526
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TAWAN BINNETTA ALSTON
Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
MONICA LYNN JOHNSON MSW
Social Worker
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
EMMETT MICHAEL LAMPKIN MD
Psychiatry & Neurology (Psychiatry)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
JANNIE LANCE MORANT
Counselor (Mental Health)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
JOSEPH E DEKINE
Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
DR. EDWARD H CONNOR PH.D.
Counselor (Professional)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
RICHARD MOORER DANTZLER
Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
MEGHAN NESMITH
Counselor (Mental Health)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lary Odom's NPI number?

The NPI number for Lary Odom is 1811913783. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Lary Odom located?

Lary Odom practices at 164 Waccamaw Medical Park Dr, Conway, SC 29526. The listed phone number is (843) 347-5060.

What is Lary Odom's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Lary Odom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.