Odyssey House Texas Inc

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

License

494-A Issued in TX

Legal business name

ODYSSEY HOUSE TEXAS INC

Practice address

5629 Grapevine St
Houston, TX 77085-3816

Phone

(713) 726-0922

Fax

(713) 726-0988

NPI assigned

Jan 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bobby Miller, LCSW,LCDC

Title

Program Director

Phone

(713) 726-0922

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982751087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5629 GRAPEVINE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770853816",
            "telephone_number": "713-726-0922",
            "fax_number": "713-726-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5629 GRAPEVINE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770853816",
            "telephone_number": "713-726-0922",
            "fax_number": "713-726-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY HOUSE TEXAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "713-726-0922",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW,LCDC"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "TX",
            "license": "494-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ediomi Enebong Oduwole, DNP
• Aderonke Oduye, RN
• Odyssey Day Services Inc
• Odyssey Emergency Medical, LLC (Odyssey EMS)
• Odyssey House Call Practice LLC
• Odyssey Stability Support Services Inc
• Odyssey TLC Adult Daycare,Inc.
• Jasandra Lourdes Oeffinger, LPC
• Abigail Oehler, LPC, CRC
• Laura Oehler, APRN, FNP-C

• Children's Substance Abuse Rehabilitation Facility in Houston, TX
• Providers in Houston, TX by specialty
• Children's Substance Abuse Rehabilitation Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.