Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Optimum Life Wellness LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1396199238

Optimum Life Wellness LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Roswell, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

620 Colonial Park Dr Ste 300
Roswell, GA 30075-3839
Phone: (404) 609-4912
Fax: (404) 868-9499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X · Licence 066914 (GA)

Record details

NPI number1396199238
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bakari Vickerson — Sole Proprietor · (404) 423-7215
NPI enumeratedApril 18, 2016
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025
Mailing address620 Colonial Park Dr Ste 300, Roswell, GA 30075-3839

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