National Provider Identifier

Heather Watt Odum, LMHC

Heather Watt Odum, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Lockport, NY and a listed phone number of (716) 433-1937.

NPI 1336412196Lockport, NYMental Health Counselor

Profile Overview

NPI
1336412196
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
February 09, 2012
Last Updated
March 12, 2022

Practice Location

  • 33 Ontario St
  • Lockport, NY 14094-2815

Phone: (716) 433-1937

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1336412196
Entity Type
Individual
Last Name
Odum
First Name
Heather
Middle Name
Watt
Credential
LMHC
Provider Other Last Name
Watt
Provider Other First Name
Heather
Provider Other Middle Name
E
Provider Other Last Name Type Code
1
Mailing Street Address
33 Ontario St
Mailing City
Lockport
Mailing State
NY
Mailing ZIP Code
14094-2815
Mailing Country
US
Mailing Phone
(716) 433-1937
Mailing Fax
(716) 433-1961
Practice Street Address
33 Ontario St
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-2815
Practice Country
US
Practice Phone
(716) 433-1937
Practice Fax
(716) 433-1961
Enumeration Date
February 09, 2012
Last Updated
March 12, 2022
Sex
Female
Sole Proprietor
No
Certification Date
March 12, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)