OPTIMUM LIFE WELLNESS LLC is a mental health (including community mental health center) clinic center in Roswell, GA. OPTIMUM LIFE WELLNESS LLC NPI is 1396199238. The provider is registered as an organization entity type.
The provider's business location address is:
620 COLONIAL PARK DR STE 300 ROSWELL, GA ZIP 30075-839 Phone: (404) 609-4912 Fax: (404) 868-9499
The provider's authorized official is Bakari E Vickerson . The authorized official title is Sole Proprietor and has the following contact phone number (404) 423-7215.
The enumeration date for this NPI number is 4/18/2016 and was last updated on 7/3/2025.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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