ODELUS WELLNESS PSYCHIATRY NPI 1437974300

NPI Information

  • NPI: 1437974300
  • Provider Name: ODELUS WELLNESS PSYCHIATRY
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 358 RYSTON WAY
    LAWRENCEVILLE, GA
    ZIP 30045
  • Phone: (470) 594-5277

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NPI Details

ODELUS WELLNESS PSYCHIATRY is a psychiatric/mental health nurse practitioner in Lawrenceville, GA. ODELUS WELLNESS PSYCHIATRY NPI is 1437974300. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

358 RYSTON WAY
LAWRENCEVILLE, GA
ZIP 30045-523
Phone: (470) 594-5277

The provider's authorized official is Monica Odelus .
The authorized official title is Owner and has the following contact phone number (470) 594-5277.

The enumeration date for this NPI number is 11/18/2024 and was last updated on 11/18/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 3/30/2025

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