| Odyssey Empowered, Llc | |
|
2160 Cedar Tree Ln Waldorf MD 20601-3611 | |
| (202) 423-1593 | |
| Not Available |
| Full Name | Odyssey Empowered, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2160 Cedar Tree Ln, Waldorf, Maryland |
| Authorized Official Name and Position | Audycee Gamble (OWNER) |
| Authorized Official Contact | 2024231593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odyssey Empowered, Llc 2160 Cedar Tree Ln Waldorf MD 20601-3611 Ph: (202) 423-1593 | Odyssey Empowered, Llc 2160 Cedar Tree Ln Waldorf MD 20601-3611 Ph: (202) 423-1593 |
| NPI Number | 1013862093 |
|---|---|
| Provider Enumeration Date | 03/04/2026 |
| Last Update Date | 03/04/2026 |
| Certification Date | 03/04/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013862093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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