| Optimal Wellness Services Llc | |
|
4640 Slater Rd Ste 100 Eagan MN 55122-4044 | |
| (612) 946-2224 | |
| (612) 288-1805 |
| Full Name | Optimal Wellness Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4640 Slater Rd Ste 100, Eagan, Minnesota |
| Authorized Official Name and Position | Intisar Hussein (DIRECTOR) |
| Authorized Official Contact | 6124123318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Wellness Services Llc 4640 Slater Rd Ste 100 Eagan MN 55122-4044 Ph: (612) 946-2224 | Optimal Wellness Services Llc 4640 Slater Rd Ste 100 Eagan MN 55122-4044 Ph: (612) 946-2224 |
| NPI Number | 1285524991 |
|---|---|
| Provider Enumeration Date | 07/04/2025 |
| Last Update Date | 07/04/2025 |
| Certification Date | 07/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285524991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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