ODYSSEY PROGRAMS LLC NPI 1265556203

NPI Information

NPI: 1265556203
Provider Name: ODYSSEY PROGRAMS, LLC

Doing Business As: ODYSSEY - COUNTY HOME SCHOOL

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
14300 CTY RD 62
MINNETONKA, MN
ZIP 55345
Phone: (612) 596-0530
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ODYSSEY PROGRAMS, LLC is an addiction (substance use disorder) counselor in Minnetonka, MN. ODYSSEY PROGRAMS, LLC NPI is 1265556203. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Odyssey - County Home School.

The provider's business location address is:

14300 CTY RD 62
MINNETONKA, MN
ZIP 55345
Phone: (612) 596-0530

The provider's authorized official is Valerie Bundy .
The authorized official title is Controller and has the following contact phone number (612) 326-7555.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1020218	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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