Provider Demographics
NPI:1255199295
Name:ODYSSEY PSYCHIATRY AND WELLNESS PLLC
Entity type:Organization
Organization Name:ODYSSEY PSYCHIATRY AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:984-207-1098
Mailing Address - Street 1:8502 SIX FORKS RD STE 102
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-3264
Mailing Address - Country:US
Mailing Address - Phone:984-207-1098
Mailing Address - Fax:984-202-2194
Practice Address - Street 1:8502 SIX FORKS RD STE 102
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3264
Practice Address - Country:US
Practice Address - Phone:984-207-1098
Practice Address - Fax:984-202-2194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-12
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health