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Lary Odom
NPI 1811913783 · Counselor · Conway, SC
Lary Odom is a Counselor provider in Conway, SC (NPI 1811913783).
Provider details
- NPI number
- 1811913783
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
164 Waccamaw Medical Park Dr
Conway, SC 29526-8903
Phone: (843) 347-5060
Street-level locationGet directions
Mailing address
109 US Highway 521
Andrews, SC 29510-5476
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2007-07-08
Frequently asked questions
- What is Lary Odom's NPI number?
- Lary Odom's National Provider Identifier (NPI) is 1811913783, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lary Odom's specialty?
- Lary Odom is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Lary Odom located?
- Lary Odom's practice location on file with NPPES is 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903.
- What is Lary Odom's phone number?
- The practice phone number listed in the NPPES registry for Lary Odom is (843) 347-5060.
- Is Lary Odom's NPI active?
- Yes — Lary Odom's NPI (1811913783) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.