AMY O'DELL M.ED, LPC, TRS, CNC
NPI 1962796433
Counselor - Professional in Roswell, GA
Active since June 02, 2011
About Amy O'dell M.ed, Lpc, Trs, Cnc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY O'DELL M.ED, LPC, TRS, CNC (NPI 1962796433) is an individual professional provider in Roswell, Georgia, licensed in Georgia (LPC004163) and active in the NPI registry since June 2011.
NPPES Registry Identity
NPI1962796433
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMY O'DELLCredential: M.ED, LPC, TRS, CNC
Location Address407 HARDSCRABBLE RDRoswell, GA 30075-1417
Mailing Address407 Hardscrabble RdRoswell, GA 30075-1417 · (770) 998-1017 · Fax (770) 998-3258
Phone(770) 998-1017
Fax(770) 998-3258
Sole ProprietorNo
Enumeration DateJune 2, 2011
✔ NPI 1962796433 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC004163
407 HARDSCRABBLE RD, Roswell, GA 30075
Other Names 1
Former Name (1)Amy O'dell-wuttke M.ed, Lpc, Trs, Cnc
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Professional)
407 HARDSCRABBLE RD
ROSWELL, GA 30075
ROSWELL, GA 30075
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962796433, enumerated as an "individual" on June 02, 2011.
The provider is located at 407 HARDSCRABBLE RD ROSWELL, GA 30075 and the phone number is (770) 998-1017.
Counselor with taxonomy code 101YP2500X and a focus in Professional.