MRS. JODIE LYNN LUSTER


Address: 16107 Belle Meade Blvd, Odessa, FL 33556-3309
Phone: 8138330802

MRS. JODIE LYNN LUSTER (NPI# 1982800843) 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) 1982800843
Entity Type Individual
Full Name MRS. JODIE LYNN LUSTER
Credential L.M.H.C.
Practice Address 16107 Belle Meade Blvd
Odessa
FL 33556-3309
Practice Telephone 8138330802
Mailing Telephone 8138330802
Enumeration Date 2007-06-26
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
MH 2937 FL Behavioral Health & Social Service Providers

Office Location

Street Address 16107 BELLE MEADE BLVD
City ODESSA
State FL
Zip Code 33556-3309

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1043295090 Kathleen Young Harrell Nurse Practitioner 17121 Rainbow Terrace, Odessa, FL 33556 2005-12-13
1558854281 Thianna Marie Diamandis Assistant Behavior Analyst 16414 Lake Church Dr, Odessa, FL 33556 2018-06-07
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376171397 Faith Steps Counseling Pllc Counselor 835 Tower Dr Ste 9, Odessa, TX 79761-4251 2020-03-27
1083183636 Amy Jeffries Riddell Counselor 213 W Mason St Ste B, Odessa, MO 64076-1262 2018-11-13
1053817254 Teresa Carmel Mckenna Counselor 9105 Shadow Pond Ct, Odessa, FL 33556-3148 2018-04-05
1699045302 Harold Wayne Wallace Counselor 21 Wallbrook Trl, Odessa, TX 79762-5213 2012-01-11
1003148453 Counseling Management Inc. Counselor 1901 E 37th St, Ste.106, Odessa, TX 79762-6201 2010-02-10
1699983163 Roberta Beth Jones Counselor 1526 North Grandview Ave, Odessa, TX 79761 2007-05-18
1578783387 Dixie Lynn Jones Counselor 6010 E Highway 191 Ste 120, Odessa, TX 79762-5069 2007-04-26
1386713816 Jeanne A Dubois Counselor 6010 E Highway 191, Suite 120, Odessa, TX 79762-5070 2006-11-07
1316032790 Elma Jeanenne Nunley Counselor 2445 E. 11th St., Odessa, TX 79761 2006-10-03
1871550731 Tausha Bradshaw Elliott Counselor 6010 E Hwy 191, Suite 120, Odessa, TX 79762-5070 2006-04-26
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Competitor

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City ODESSA
Zip Code 33556

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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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