Organization
ODDESTY K LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODDESTY K LANGHAM LPC, NCC (LICENSED PROFESSIONAL COUNSELOR)
(205) 528-8162
Entity
Organization
Contact information
Practice address
2330 HIGHLAND AVE S STE L2, BIRMINGHAM, AL 35205-2912
(205) 528-8162
Mailing address
PO BOX 383272, BIRMINGHAM, AL 35238-3272
(205) 528-8162
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
01/02/2021
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