| Epic Transformation Wellness Center, Llc | |
|
2620 Regatta Dr Las Vegas NV 89128-6891 | |
| (954) 380-0875 | |
| Not Available |
| Full Name | Epic Transformation Wellness Center, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2620 Regatta Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Illyas Malik Jenkins (CEO/FOUNDER) |
| Authorized Official Contact | 9543800875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epic Transformation Wellness Center, Llc 8904 Trickling Springs Ct Las Vegas NV 89149-2991 Ph: (954) 380-0875 | Epic Transformation Wellness Center, Llc 2620 Regatta Dr Las Vegas NV 89128-6891 Ph: (954) 380-0875 |
| NPI Number | 1710779905 |
|---|---|
| Provider Enumeration Date | 05/21/2025 |
| Last Update Date | 05/21/2025 |
| Certification Date | 05/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710779905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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