Organization
KHARIS EPHRATA PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY ODAMTTEN APRN (OWNER)
(407) 775-0248
Entity
Organization
Contact information
Practice address
1030 WILDMEADOW RUN, WINTER PARK, FL 32792-3032
(407) 775-0248
(407) 951-7688
Mailing address
587 E STATE ROAD 434 UNIT 1025, LONGWOOD, FL 32750-5284
(407) 775-0248
(321) 282-1448
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
I DO NOT HAVE SUCH NUMBERS
—
Enumeration date
03/20/2022
Last updated
04/17/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us