KATHRYN ODOM MA
NPI 1861186025
Counselor - Mental Health in Newnan, GA
Active since June 08, 2023
About Kathryn Odom Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN ODOM MA (NPI 1861186025) is an individual mental health provider in Newnan, Georgia and active in the NPI registry since June 2023.
NPPES Registry Identity
NPI1861186025
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHRYN ODOMCredential: MA
Location Address25 E BROAD STNewnan, GA 30263-1922
Mailing Address25 E Broad StNewnan, GA 30263-1922 · (470) 488-9475
Phone(470) 488-9475
Sole ProprietorYes
Enumeration DateJune 8, 2023
NPPES CertifiedJune 8, 2023
✔ NPI 1861186025 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
25 E BROAD ST, Newnan, GA 30263
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861186025, enumerated as an "individual" on June 08, 2023.
The provider is located at 25 E BROAD ST NEWNAN, GA 30263 and the phone number is (470) 488-9475.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
