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Organization

ODYSSEY MENTAL WELLNESS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MITCHELL BARNEY (OWNER)
(208) 696-2628
Entity
Organization

Contact information

Practice address
1820 E 17TH ST STE 115, IDAHO FALLS, ID 83404-6472
(208) 520-7074
(208) 970-6188
Mailing address
1820 E 17TH ST STE 115, IDAHO FALLS, ID 83404-6472

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
11/04/2024
Last updated
06/12/2026
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