Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mariah Odom

Individual provider Mental Health Counselor · NPI 1033887328

Mariah Odom is a Mental Health Counselor in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2021.

Licensed in
LA
In the registry since
2021
Specialties on file
3

Practice location Address checks out

2620 Centenary Blvd Unit 3
Shreveport, LA 71104-3356
Phone: (903) 330-7064
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 8872 (LA)
Mental Health Counselor Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1033887328
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 1, 2021
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024

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