MRS. LESLI ODUM (NPI# 1982006268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982006268 |
| Entity Type | Individual |
| Full Name | MRS. LESLI ODUM |
| Credential | LMHC |
| Practice Address |
6396 Royal Tern St Orlando FL 32810-6012 |
| Practice Telephone | 4078019628 |
| Mailing Telephone | 4078019628 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2019-01-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
FL | Behavioral Health & Social Service Providers | |
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
FL | Ambulatory Health Care Facilities |
| Street Address |
6396 ROYAL TERN ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32810-6012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043774078 | Your Priority, LLC. | Counselor | 6396 Royal Tern St, Orlando, FL 32810-6012 | 2019-01-23 |
| 1386154474 | Full Circle Florida Inc. | Counselor | 6396 Royal Tern St, Orlando, FL 32810-6012 | 2017-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708344 | Courtney Anne Bass | Psychologist | 5736 Eggleston Avenue, Orlando, FL 32810 | 2020-10-19 |
| 1598273666 | Taylor Elizabeth Marshall | Behavior Technician | 3701 Maitland Summit Blvd, Orlando, FL 32810 | 2018-01-11 |
| 1962920595 | Sister With Destiny | Adult Companion | 5214 N. O. B. T Apt 103, Orlando, FL 32810 | 2017-09-04 |
| 1710408992 | Denise Lynn Mezquia | Optometrist | 1800 Pembrook Dr Ste 120, Orlando, FL 32810 | 2017-06-28 |
| 1407380603 | Naho Hattori | Student in an Organized Health Care Education/Training Program | 1800 Pembrook Dr Ste 200, Orlando, FL 32810 | 2017-04-13 |
| 1245774801 | Elite Physical Therapy & Health Care Services | Community/Behavioral Health | 5104 North Orange Blossom Trail, Suite 119, Orlando, FL 32810 | 2016-12-15 |
| 1841746518 | Marie Yveline Mauger | Licensed Practical Nurse | 4400 Park Eden Cir, Orlando, FL 32810 | 2016-08-31 |
| 1548619950 | Predestined 4 Purpose Inc | Home Health | 6826 Gadwall Lane, Orlando, FL 32810 | 2016-06-07 |
| 1881058998 | Xuong Vong | Massage Therapist | 9301 Summit Centre Way, Maitland, FL 32810 | 2016-04-06 |
| 1760862726 | Edwin Colon | Case Management | 2660 Environs Blvd, Orlando, FL 32810 | 2015-06-04 |
| Find all providers in zip 32810 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707415 | Active Dl Services Inc. | Clinic/Center | 1830 Bel Air Ave, Orlando, FL 32812-8709 | 2020-07-09 |
| 1912523879 | Your Light Residential Care LLC | Clinic/Center | 2640 Albion Ave, Orlando, FL 32833-4342 | 2020-06-17 |
| 1477174225 | Meghan Mullany | Clinic/Center | 14815 Faberge Dr, Orlando, FL 32828-5119 | 2020-05-04 |
| 1447884457 | Immaculate Homecare Corp | Clinic/Center | 2204 Ashland Blvd, Orlando, FL 32808-4906 | 2020-02-28 |
| 1770116410 | Daphene Saintil | Clinic/Center | 5273 Millenia Blvd Apt 202, Orlando, FL 32839-3408 | 2020-02-21 |
| 1225671514 | Annette I Vigeant | Clinic/Center | 19668 Mardi Gras St, Orlando, FL 32833-3720 | 2019-10-20 |
| 1225689284 | Marie Mickaelle Auguste | Clinic/Center | 1421 Magellan Cir, Orlando, FL 32818-6733 | 2019-09-21 |
| 1639737760 | Amanda Garcia Ruiz | Clinic/Center | 14127 Sanctuary Terrace Ln, Orlando, FL 32832-6643 | 2019-06-04 |
| 1053976126 | Achille Family Nursing Care LLC | Clinic/Center | 12632 Boggy Pointe Dr, Orlando, FL 32824-4881 | 2019-05-04 |
| 1205499787 | K Brown Med-waiver Services Inc | Clinic/Center | 3250 Mahalia Pl, Orlando, FL 32805-2918 | 2019-04-19 |
| Find all providers in ORLANDO | ||||
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| 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.