Provision Wellness Center LLC
Provision Wellness Center LLC is an Adult Mental Health Clinic/Center in St Anthony, Minnesota. Registered with an NPI since 2019.
- In the registry since
- 2019
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4001 Stinson Blvd Ste 300St Anthony, MN 55421-3488
Phone: (612) 401-1786
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Mental Health Clinic/Center (primary) | Taxonomy 261QM0850X |
|---|
Record details
| NPI number | 1427611318 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Maryan Farah — Owner · (612) 401-1786 |
| Other names | Provision Wellness Center Llc |
| NPI enumerated | April 17, 2019 |
| Last updated in NPPES | April 2, 2026 |
| Certification date | April 2, 2026 |
| Mailing address | 4001 Stinson Blvd Ne Ste 300, Minneapolis, MN 55421-3424 |
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