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General NPI Number Information
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NPI Number | 1578431599
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Entity Type | Organization
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Legal Business Name | ODYSSEY THERAPY PLLC
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 1125 E MOREHEAD ST STE 207
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City | CHARLOTTE
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State | NC
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Zip | 28204-2849
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Country | US
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Telephone | 704-412-8050
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Fax |
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Provider Business Mailing Address
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Address Line | 405 ROLLINGBROOK DR APT 307
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City | CHARLOTTE
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State | NC
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Zip | 28217-0016
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Country | US
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Telephone | 704-412-8050
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | KACEY SCHEUERMAN
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Credential | LCSW
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Telephone | 843-725-9276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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