Search › Louisiana › 101YP2500X
Mariah Odom
NPI 1033887328 · on the registry since 2021
Practice
- Address
- 2620 Centenary Blvd Unit 3
Shreveport, LA 71104 - Phone
- (903) 330-7064
- Organisation at this address
- Road To Change
Cjmg Holdings, Llc
Superior Counseling
Superior Drivers, Llc
Easter Seals LouisianaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 48
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YM0800X
171M00000X - Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana