Organization Active NPI

Alliance Awareness Center

  • Social Worker
  • Orlando, FL
National Provider Identifier
1912399155
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
ALLIANCE AWARENESS CENTER
Practice address
618 E South St
Suite 500
Orlando, FL 32801-2986
Phone
(407) 409-5791
Fax
(321) 234-9267
NPI assigned
Feb 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Authorized official

Name
Mr. Theodore Odem Jr., B.S.
Title
Ceo/Owner
Phone
(407) 409-5791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

618 E South St
Suite 500
Orlando, FL 32801-2986

Mailing address

618 E South St
Suite 500
Orlando, FL 32801-2986
Phone (407) 409-5791

Other identifiers 1

IdentifierTypeStateIssuer
013086200MedicaidFL

Other names 1

  • Alliance Awareness Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1912399155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 E SOUTH ST",
            "address_2": "SUITE 500",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012986",
            "telephone_number": "407-409-5791",
            "fax_number": "321-234-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 E SOUTH ST",
            "address_2": "SUITE 500",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012986",
            "telephone_number": "407-409-5791",
            "fax_number": "321-234-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE AWARENESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "ODEM",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "407-409-5791",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013086200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Awareness 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 Feb 25, 2015; 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.