NPI Code Details Logo

NPI 1295651719

NPI 1295651719 : OPTIMUM MIND HEALTH : ORLANDO, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1295651719
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    OPTIMUM MIND HEALTH 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/29/2026
-----------------------------------------------------
    Last Update Date     |    06/29/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    14918 FABERGE DR 
-----------------------------------------------------
    City                 |    ORLANDO
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32828-5118
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    407-222-1329
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    14918 FABERGE DR 
-----------------------------------------------------
    City                 |    ORLANDO
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32828-5118
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    407-222-1329
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DIRECTOR
-----------------------------------------------------
    Name                 |     MILLIAN  OKAFOR 
-----------------------------------------------------
    Credential           |    APRN
-----------------------------------------------------
    Telephone            |    407-222-1329
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QM0801X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.