Organization
OPTIMAL WELLNESS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INTISAR HUSSEIN (DIRECTOR)
(612) 412-3318
Entity
Organization
Contact information
Practice address
4640 SLATER RD STE 100, EAGAN, MN 55122-4044
(612) 946-2224
(612) 288-1805
Mailing address
4640 SLATER RD STE 100, EAGAN, MN 55122-4044
(612) 946-2224
(612) 288-1805
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/04/2025
Last updated
07/04/2025
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