Organization Active NPI

Alliance Awareness Center Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Orlando, FL
National Provider Identifier
1669836995
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
ALLIANCE AWARENESS CENTER INC.
Practice address
390 N Orange Ave
Suite 2300
Orlando, FL 32801-1640
Phone
(877) 646-3374
Fax
(321) 234-9267
NPI assigned
Apr 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Mr. Theodore Odem Jr.
Title
Ceo/Owner/Founder
Phone
(877) 646-3374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X FL Primary

Addresses

Primary practice location

390 N Orange Ave
Suite 2300
Orlando, FL 32801-1640

Mailing address

390 N Orange Ave
Suite 2300
Orlando, FL 32801-1640
Phone (877) 646-3374

Other identifiers 1

IdentifierTypeStateIssuer
1760891493MedicaidFL

Other names 1

  • Alliance Awareness Center Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

390 N Orange Ave
Ste 2300
Orlando, FL 32801
Phone (407) 634-3267

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1669836995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 N ORANGE AVE",
            "address_2": "SUITE 2300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011640",
            "telephone_number": "877-646-3374",
            "fax_number": "321-234-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 N ORANGE AVE",
            "address_2": "SUITE 2300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011640",
            "telephone_number": "877-646-3374",
            "fax_number": "321-234-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE AWARENESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "ODEM",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "CEO/OWNER/FOUNDER",
        "authorized_official_telephone_number": "877-646-3374",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760891493",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Awareness Center Inc.",
            "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 Apr 13, 2016; 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.