Organization
OPTIMUM LIFE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAKARI E VICKERSON MD (SOLE PROPRIETOR)
(404) 423-7215
Entity
Organization
Contact information
Practice address
620 COLONIAL PARK DR STE 300, ROSWELL, GA 30075-3839
(404) 609-4912
(404) 868-9499
Mailing address
620 COLONIAL PARK DR STE 300, ROSWELL, GA 30075-3839
(404) 609-4912
(404) 868-9499
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
066914
GA
Other
Enumeration date
04/18/2016
Last updated
07/03/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us