OPTIMUM GLOW TREATMENT CENTER LLC
NPI 1770323263
Clinic/Center - Rehabilitation, Substance Use Disorder in Atlanta, GA

Active since May 30, 2024CLIA 11D2316400 · Waiver
2245 GODBY RD STE 202, ATLANTA, GA 30349(470) 452-4317 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Optimum Glow Treatment Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTIMUM GLOW TREATMENT CENTER LLC (NPI 1770323263) is a healthcare organization registered as a rehabilitation, substance use disorder in Atlanta, Georgia and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through January 5, 2027 and lists Denika Workman, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1770323263
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameOPTIMUM GLOW TREATMENT CENTER LLC
Location Address2245 GODBY RD STE 202Atlanta, GA 30349-5059
Mailing Address5050 Union St Unit 73Union City, GA 30291-2700
Organization SubpartNo
Authorized OfficialDenika WorkmanExecutive Director · (470) 452-4317
Enumeration DateMay 30, 2024
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
NPI 1770323263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
2245 GODBY RD STE 202, Atlanta, GA 30349

Other Names 1

Doing Business AsOptimum Glow Treatment Center Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2316400

Optimum Glow Treatment Center, LLC · Atlanta, GA
Active · expires Jan 5, 2027
CLIA Number11D2316400
Laboratory TypeIndependent
Certificate Effective DateJanuary 6, 2025
Certificate Expiration DateJanuary 5, 2027
Laboratory DirectorDenika Q. Workman
Laboratory Phone(470) 452-4317
Laboratory LocationOptimum Glow Treatment Center, LLC2245 Godby Road, Suite 202, Atlanta, GA 30349
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Optimum Glow Treatment Center LLC's NPI number?

The NPI number for Optimum Glow Treatment Center LLC is 1770323263. It was assigned to this organization in the NPPES registry on May 30, 2024.

Where is Optimum Glow Treatment Center LLC located?

Optimum Glow Treatment Center LLC is located at 2245 Godby Rd Ste 202, Atlanta, GA 30349. The listed phone number is (470) 452-4317.

What is Optimum Glow Treatment Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Optimum Glow Treatment Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2316400) is associated with this NPI, valid through January 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Optimum Glow Treatment Center LLC was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.