Ellen L Odom, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ELLEN L ODOM, LLC

Practice address

5700 Regency CT S
Mobile, AL 36609-3277

Phone

(251) 379-9434

NPI assigned

Aug 22, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ellen Odom, MS, LPCNPI 1578588471

Title

Licensed Professional Counselor

Phone

(251) 379-9434

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ellen Odom, M.S., L.P.C.

  • Professional Counselor
  • Mobile, AL
  • NPI 1578588471
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1497473870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 REGENCY CT S",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093277",
            "telephone_number": "251-379-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 REGENCY CT S",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093277",
            "telephone_number": "251-379-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN L ODOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-21",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "251-379-9434",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth Zieman Meacham DMD PC
• Mable Jeannette Elkins, ARNP
• Ingy Elkomary
• Justin L. Ellerman, MD
• Kenneth E Ellingwood, M.D.
• Mary Epps Ellingwood, CRNA
• Heidi Elliot, M.C.D., CCC-A
• Kimberly A. Elliott, M.D.

• Community/Behavioral Health Agency in Mobile, AL
• Providers in Mobile, AL by specialty
• Community/Behavioral Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.