Healthcare Provider Details

I. General information

NPI: 1255199295
Provider Name (Legal Business Name): ODYSSEY PSYCHIATRY AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2024
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8502 SIX FORKS RD STE 102
RALEIGH NC
27615-3264
US

IV. Provider business mailing address

8502 SIX FORKS RD STE 102
RALEIGH NC
27615-3264
US

V. Phone/Fax

Practice location:
  • Phone: 984-207-1098
  • Fax: 984-202-2194
Mailing address:
  • Phone: 984-207-1098
  • Fax: 984-202-2194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MEGAN ZARTMAN
Title or Position: PRACTICE MANAGER
Credential:
Phone: 984-207-1098