Organization Active NPI

Sacred Rose Center for Wellness, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orlando, FL
National Provider Identifier
1811861404
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SACRED ROSE CENTER FOR WELLNESS, PLLC
Practice address
3564 Avalon Park Blvd E Ste 1-A742
Orlando, FL 32828-7365
Phone
(321) 386-2332
Fax
(320) 207-9107
NPI assigned
Oct 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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

Authorized official

Name
Jasmine Luckett-Epps, PMHNPNPI 1134981921
Title
Owner/Provider
Phone
(202) 759-4214

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3564 Avalon Park Blvd E Ste 1-A742
Orlando, FL 32828-7365

Mailing address

3564 Avalon Park Blvd E Ste 1-A742
Orlando, FL 32828-7365

Other practice location 1

4701 Old Canoe Creek Rd
Saint Cloud, FL 34769-1400
Phone (202) 759-4214

Other practice location 2

7560 Red Bug Lake Rd Ste 2020
Oviedo, FL 32765-6591
Phone (321) 386-2332

Other practice location 3

626 Burns St SE
Washington, DC 20019-4203
Phone (202) 759-4214

National Provider Directory

National Provider Directory

Locations

3564 E Avalon Park Blvd
Ste 1A742
Orlando, FL 32828
Phone (202) 759-4214

4701 Old Canoe Creek Rd
Saint Cloud, FL 34769
Phone (202) 759-4214

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": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788652800000",
    "number": "1811861404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3564 AVALON PARK BLVD E STE 1-A742",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3564 AVALON PARK BLVD E STE 1-A742",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287365",
            "telephone_number": "321-386-2332",
            "fax_number": "320-207-9107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4701 Old Canoe Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "FL",
            "postal_code": "347691400",
            "country_code": "US",
            "telephone_number": "202-759-4214",
            "fax_number": "320-207-9107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7560 Red Bug Lake Rd Ste 2020",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327656591",
            "country_code": "US",
            "telephone_number": "321-386-2332",
            "fax_number": "320-207-9107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "626 Burns St SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200194203",
            "country_code": "US",
            "telephone_number": "202-759-4214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SACRED ROSE CENTER FOR WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2026-09-06",
        "certification_date": "2026-09-06",
        "status": "A",
        "authorized_official_last_name": "LUCKETT-EPPS",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "202-759-4214",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 6, 2026; 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.