# ODYSSEY BEHAVIORAL HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225845175
- **Authorized official:** PAMLER REBECCA WALLS ERVIN (OWNER)
- **Authorized official phone:** (704) 941-7938

## Contact information

- **Practice address:** 4912 DUNCAN LN, GASTONIA, NC 28056-9361
- **Practice address phone:** (704) 941-7938
- **Mailing address:** PO BOX 39024, CHARLOTTE, NC 28278-1050
- **Mailing address phone:** (704) 941-7938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2024
- **Last updated:** 12/18/2024