Active NPI
Alliance Awareness Center
- Social Worker
- Orlando, FL
National Provider Identifier
1912399155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013086200 | Medicaid | FL |
Other names 1
- Alliance Awareness Center
National Provider Directory
National Provider DirectoryNPI 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.