Healthcare Provider Details

I. General information

NPI: 1699783589
Provider Name (Legal Business Name): BARBARA JEAN ODUM LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 EAST COY SMITH HIGHWAY
MT VERNON AL
36560
US

IV. Provider business mailing address

PO BOX 1090 725 EAST COY SMITH HIGHWAY
MT VERNON AL
36560
US

V. Phone/Fax

Practice location:
  • Phone: 251-662-6700
  • Fax: 251-829-5385
Mailing address:
  • Phone: 251-662-6700
  • Fax: 251-829-5385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0272C
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: