OMNI ODUM (NPI# 1588214068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588214068 |
| Entity Type | Individual |
| Full Name | OMNI ODUM |
| Credential | LLPC |
| Practice Address |
1121 Villa Linde Ct Bldg 39 Flint MI 48532-3410 |
| Mailing Address |
21137 Oak Ridge Dr Clinton Township MI 48036-3860 |
| Practice Telephone | 8105151931 |
| Mailing Telephone | 8102883475 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401017329 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1121 VILLA LINDE CT BLDG 39 |
| City | FLINT |
| State | MI |
| Zip Code | 48532-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144857798 | Vernell Webb Jr. | Social Worker | 1121 Villa Linde Ct Bldg 39, Flint, MI 48532-3410 | 2020-03-24 |
| 1831729128 | Alonna Tipton | Counselor | 1121 Villa Linde Ct Bldg 39, Flint, MI 48532-3410 | 2020-01-25 |
| 1598315954 | Kali Christine Martin | Counselor | 1121 Villa Linde Ct Bldg 39, Flint, MI 48532-3410 | 2019-09-18 |
| 1861042335 | Emily Josephine Merlo | Social Worker | 1121 Villa Linde Ct Bldg 39, Flint, MI 48532-3410 | 2019-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930640 | Nikki Lynn Moorman | Counselor | 1295 S Linden Rd Ste F, Flint, MI 48532-3498 | 2020-10-18 |
| 1225635568 | Nichole Wright | Counselor | 5294 Timberwood Point Dr, Flint, MI 48532-2265 | 2020-10-08 |
| 1821603549 | Shift Consulting | Counselor | 2425 S Linden Rd Ste D138, Flint, MI 48532-5482 | 2020-09-10 |
| 1730797291 | Lauren Hawkins | Counselor | 18420 Serenity Way, Flint, TX 75762-9625 | 2020-07-20 |
| 1992357339 | Jennifer E Malone | Counselor | 1328 Williamsburg Rd, Flint, MI 48507-5628 | 2019-07-16 |
| 1073076055 | Michelle Lowder | Counselor | 17238 Pennie Ln, Flint, TX 75762-9148 | 2019-04-08 |
| 1457814550 | Monica Lynn Blackwell | Counselor | 2425 S Linden Rd Ste 134, Flint, MI 48532-5473 | 2019-04-08 |
| 1679080089 | Candace Shuel | Counselor | 2387 S Linden Rd Ste 124, Flint, MI 48532-5487 | 2018-01-08 |
| 1649786500 | Kristen Alexis Bedevian | Counselor | 16735 Gresham Cir # 101, Flint, TX 75762-3510 | 2017-12-14 |
| 1740710839 | Alise X Mcaleer | Counselor | 5406 Gateway Ctr Ste A, Flint, MI 48507-3933 | 2017-06-13 |
| Find all providers in FLINT | ||||
Please comment or provide details below to improve the information on OMNI ODUM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.