DR. LYDIA ODENAT


Address: 1640 Powers Ferry Rd Se Bldg 18-250, Marietta, GA 30067-9461
Phone: 6786879149

DR. LYDIA ODENAT (NPI# 1366847097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366847097
Entity Type Individual
Full Name DR. LYDIA ODENAT
Credential PHD
Practice Address 1640 Powers Ferry Rd Se Bldg 18-250
Marietta
GA 30067-9461
Mailing Address 1777 Walker Ridge Dr Sw
Marietta
GA 30064-4192
Practice Telephone 6786879149
Mailing Telephone 6786879149
Enumeration Date 2014-10-23
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
PSY003854 GA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2751 Buford Hwy Ne Ste 700, Atlanta, GA 303245510 6786879149

Office Location

Street Address 1640 POWERS FERRY RD SE BLDG 18-250
City MARIETTA
State GA
Zip Code 30067-9461

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689140022 Sherry Wilson King Marriage & Family Therapist 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 2018-10-23
1053886861 Precious Angel Home Care Services Inc Adult Companion 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 2018-10-08
1194206466 Joshua P Moree Chiropractor 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 2018-08-24
1841778081 Sun Pediatrics LLC Pediatrics 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 2018-07-31
1508358714 Mbs Wellness Group, LLC Durable Medical Equipment & Medical Supplies 62 Shawnee Trail Se, Marietta, GA 30067 2018-06-04
1497254213 Allison M Jancik Chiropractor 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 2018-02-07
1801304969 Danielle Ann Dietrich Chiropractor 805 Winterset Pkwy Se, Marietta, GA 30067 2018-01-11
1740794866 Jessica Lofgren Chiropractor 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 2017-11-28
1871026393 Rhonda Dawes Milner Counselor 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 2017-04-11
1457894537 Carcelia Delk Counselor 1110 Augusta Dr Se, Marietta, GA 30067 2016-11-22
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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205057445 Sakinah Y. Rasheed Psychologist 1568 Cloverdale Dr Se, Marietta, GA 30067-7406 2007-05-02
1235464561 Reda Coston Psychologist 2480 Windy Hill Rd Se, Suite 206, Marietta, GA 30067-8644 2009-10-05
1447584578 Elaine A Thomas Psyd LLC Psychologist 316 Alexander St Se, Suite 6, Marietta, GA 30060-8217 2009-09-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215403340 Camino Psychological Services, LLC Psychologist 2450 Atlanta Hwy Ste 1903, Cumming, GA 30040-1237 2018-10-16
1790299386 Marcus Dawson Psychologist 498 Hudgeons Rd, Warrenton, GA 30828-5444 2017-11-19
1992245732 Cynthia Anita Hucks-smith Psychologist 5012 Paulsen St., Bldg 7, Savannah, GA 31405-4624 2017-02-27
1720483340 Jessica Haley Geddes Psychologist 595 Wimbledon Rd Ne, Atlanta, GA 30324-4965 2014-10-24
1801145354 Richard M Anderson Psychologist 21 Windsor On The Marsh, Savannah, GA 31419-2409 2012-08-30
1023341518 Christine R Petro, Psy.d., LLC Psychologist 69 Grayson New Hope Rd, Grayson, GA 30017 2009-09-15
1982879425 Sara Michelle Velez Psychologist 645 Hembree Pkwy Ste A, Roswell, GA 30076-3868 2008-04-25
1033394820 Mark Gilson Phd PC Psychologist 1772 Century Boulevard, Ne, Atlanta, GA 30345-3396 2007-12-31
1316159569 Paul Lavere Fair Psychologist 3580 Piedmont Road, Suite 220, Atlanta, GA 30305-1506 2007-05-03
1629290366 Alexandra Mena Phipps Psychologist 2312 Peachford Rd Ste C, Atlanta, GA 30338-5823 2007-05-03
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Competitor

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City MARIETTA
Zip Code 30067

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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