Organization
EPIC WELLNESS LLC
Active
Other names
Epic Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
FANUSA HEYDAR SHARIF (CEO)
(763) 347-0981
Entity
Organization
Contact information
Practice address
11065 UNIVERSITY AVE NE APT E, BLAINE, MN 55434-1999
(763) 347-0981
Mailing address
11065 UNIVERSITY AVE NE APT E, BLAINE, MN 55434-1999
(763) 347-0981
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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