# MEDO PSYCH CONSULT LLC

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

## Provider details

- **NPI number:** 1922504323
- **Authorized official:** BAMIDELE A ODEDE (OWNER)
- **Authorized official phone:** (443) 527-8356

## Contact information

- **Practice address:** 311 4E JUDGES ROAD, WILMINGTON, NC 28405
- **Practice address phone:** (910) 617-6495
- **Mailing address:** 2100 VALLEY CREEK DR, LITHIA SPRINGS, GA 30122-3647
- **Mailing address phone:** (443) 527-8356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2018
- **Last updated:** 04/04/2018