Active NPI
Odida,Inc.
- Community/Behavioral Health Agency
- East Point, GA
National Provider Identifier
1104157213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ODIDA,INC.
- Practice address
- 3645 Marketplace Blvd Ste 130-63
East Point, GA 30344-5747 - Phone
- (704) 999-2089
- NPI assigned
- Jan 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Franklin F Igwilo
- Title
- Ceo
- Phone
- (704) 675-8906
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3645 Marketplace Blvd Ste 130-63
East Point, GA 30344-5747
Mailing address
3645 Marketplace Blvd Ste 130-63
East Point, GA 30344-5747
Phone (704) 999-2089
National Provider Directory
National Provider DirectoryLocations
3645 Marketplace Blvd
Ste 13063
East Point, GA 30344
Phone (704) 999-2089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264723200000",
"number": "1104157213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3645 MARKETPLACE BLVD STE 130-63",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303445747",
"telephone_number": "704-999-2089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3645 MARKETPLACE BLVD STE 130-63",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303445747",
"telephone_number": "704-999-2089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ODIDA,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-29",
"last_updated": "2010-01-29",
"status": "A",
"authorized_official_last_name": "IGWILO",
"authorized_official_first_name": "FRANKLIN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "704-675-8906"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Point, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.