KIMBERLY ODOM


Address: 1630 Vinson Hwy Se, Milledgeville, GA 31061-4102
Phone: 4782519345

KIMBERLY ODOM (NPI# 1396140331) 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) 1396140331
Entity Type Individual
Full Name KIMBERLY ODOM
Credential LPC
Practice Address 1630 Vinson Hwy Se
Milledgeville
GA 31061-4102
Mailing Address Po Box 213
Milledgeville
GA 31059-0213
Practice Telephone 4782519345
Mailing Telephone 4782519345
Enumeration Date 2014-11-04
Last Update Date 2014-11-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
007734 GA Behavioral Health & Social Service Providers

Other Providers KIMBERLY ODOM

NPI Name Taxonomy Address Enumeration
1073083564 Kimberly Odom Specialist/Technologist 2602 White Rose Dr, Loganville, GA 30052-2196 2018-11-28
1194225722 Kimberly L Odom Licensed Vocational Nurse 680 W Sam Houston Pkwy S Apt 2414, Houston, TX 77042-1570 2018-02-20
1558901777 Kimberly Odom Behavior Technician 12015 E 46th Ave Ste 680, Denver, CO 80239-3158 2020-01-15
1386623908 Kimberly P Odom Pediatrics 613 So. Myrtle Avenue, Clearwater, FL 33756 2006-01-12

Office Location

Street Address 1630 VINSON HWY SE
City MILLEDGEVILLE
State GA
Zip Code 31061-4102

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861007403 Caring Clinic LLC Nurse Practitioner 114 Wrights Dr, Milledgeville, GA 31061 2020-09-10
1629619945 Gini M Ellis Counselor Blandy Way Office Park 60, Highway 22 West, Milledgeville, GA 31061 2019-10-08
1356992275 Community Health Care Systems, Inc Clinic/Center 100 N Abc Street, Milledgeville, GA 31061 2019-09-23
1467923805 Adam Tocio Specialist/Technologist 350 W. Washington St., Milledgeville, GA 31061 2018-12-11
1487170304 Aubrey Martin Specialist/Technologist 251 S Clark St., Milledgeville, GA 31061 2017-08-22
1427573054 Heritagefirst Home Care Inc. In Home Supportive Care 1277 Twin Pine Road, Milledgeville, GA 31061 2017-08-04
1851813893 Brittany Shantrel Primas Nurse Practitioner 102 A Airport Road Ne, Milledgeville, GA 31061 2017-07-12
1609300839 Samantha Weldon Behavioral Analyst 174 Stewart Dr Nw, Milledgeville, GA 31061 2017-04-14
1427425230 Foster Deariso Specialist/Technologist 251 S Clarke St, Milledgeville, GA 31061 2015-08-27
1023406279 Llewelyn Garillos Occupational Therapist 3789 Sinclair Dam Road Ne, Milledgeville, GA 31061 2014-12-22
Find all providers in zip 31061

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174120851 Helen Jackson Counselor 326 Stoneridge Dr Nw, Milledgeville, GA 31061-5453 2020-10-05
1194369660 Angelika Johnson Counselor 110 Valentine Rd Ne, Milledgeville, GA 31061-8855 2019-10-29
1629619945 Gini M Ellis Counselor Blandy Way Office Park 60, Highway 22 West, Milledgeville, GA 31061 2019-10-08
1891286308 Elizabeth Walters Counselor 270 Whistle Way Unit H, Milledgeville, GA 31061-0618 2018-05-21
1346617842 Tameka Mack Counselor 611 N Wayne St, Milledgeville, GA 31061-2834 2015-08-31
1902201502 Ida Freeman Counselor 1776 N. Jefferson St. -suite B, Milledgeville, GA 31061 2014-10-27
1356604979 Doris Comer Thompson Counselor Park 60 Highway 22 West, Milledgeville, GA 31061 2012-06-19
1861622904 Amanda H Robinson Counselor 22 West Hwy 60 Blanding Way Office Park, Milledgeville, GA 31061-3292 2009-07-23
1689810913 Jack Barney Taylor IIi Counselor 1617 Flat Shoals Rd Ne, Milledgeville, GA 31061-2203 2008-12-16
1891903746 Tracey Leigh Byram Counselor 717 Matheson Drive, Milledgeville, GA 31061-2339 2007-05-21
Find all providers in MILLEDGEVILLE

Competitor

Search similar providers

City MILLEDGEVILLE
Zip Code 31061

Improve Information

Please comment or provide details below to improve the information on KIMBERLY ODOM.

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.

Trending Searches