Organization Active NPI

Alpha Life Mental and Wellness Center

  • Adult Mental Health Clinic/Center
  • Orlando, FL
National Provider Identifier
1376136739
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ALPHA LIFE MENTAL AND WELLNESS CENTER
Practice address
7208 W Sand Lake Rd
Orlando, FL 32819-5200
Phone
(407) 410-8621
NPI assigned
Feb 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Ijeoma E Ofokansi, DNP, APRNNPI 1083149447
Title
Aprn
Phone
(407) 410-8621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

7208 W Sand Lake Rd
Orlando, FL 32819-5200

Mailing address

13506 Summerport Village Pkwy Ste 320
Windermere, FL 34786-7366

Other names 1

  • Alpha Life Mental Health and Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

7208 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 271-8931

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1376136739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13506 SUMMERPORT VILLAGE PKWY STE 320",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 W SAND LAKE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195200",
            "telephone_number": "407-410-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA LIFE MENTAL AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "OFOKANSI",
        "authorized_official_first_name": "IJEOMA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "407-410-8621",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DNP, APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Life Mental Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.