Provider Demographics
NPI:1194414649
Name:ODYSSEY INTEGRATIVE PSYCHIATRY PLLC
Entity type:Organization
Organization Name:ODYSSEY INTEGRATIVE PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:BRETT
Authorized Official - Last Name:LLOYD
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:404-954-0226
Mailing Address - Street 1:25 E WASHINGTON ST STE 2036
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-1818
Mailing Address - Country:US
Mailing Address - Phone:404-954-0226
Mailing Address - Fax:916-313-2427
Practice Address - Street 1:25 E WASHINGTON ST STE 2036
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-1818
Practice Address - Country:US
Practice Address - Phone:404-954-0226
Practice Address - Fax:916-313-2427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty