Organization · Type 2 NPI
Optimum Life Wellness LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Roswell, GA
NPI number
1396199238
Active
Practice location
620 Colonial Park Dr Ste 300
Roswell, GA 30075-3839
Fax (404) 868-9499
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | 066914 (GA) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
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About NPI 1396199238
Optimum Life Wellness LLC's National Provider Identifier is 1396199238, issued on Apr 18, 2016. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Roswell, GA. The record was last updated on Jul 3, 2025.