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NPI Code Detail

MEDICARE: RITA ODOM-DELONEY LPC

MEDICARE: RITA ODOM-DELONEY LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101YP2500XProfessional CounselorP-2506001AR

General Provider Information

NPI Number : 1811678436
Entity Type Code : Individual
Provider Name (Legal Business Name) : RITA ODOM-DELONEY LPC
Provider Business Mailing Address
First Line : 110 PEARSON
Second Line :
City : BENTON
State : AR
Zip : 72015-4436
Country : US
Telephone Number : 501-315-4224
Fax Number : 501-778-0450
Provider Business Practice Location Address
First Line : 110 PEARSON
Second Line :
City : BENTON
State : AR
Zip : 72015-4436
Country : US
Telephone Number : 501-315-4224
Fax Number : 501-778-0450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2023
Last Update Date : 06/11/2026

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Directions to “ RITA ODOM-DELONEY LPC” Practice Location

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