Provision Wellness Center LLC
NPI 1427611318 · Adult Mental Health Clinic/Center · St. Anthony, MN
Provision Wellness Center LLC is a Adult Mental Health Clinic/Center organization in St. Anthony, MN (NPI 1427611318).
Provider details
- NPI number
- 1427611318
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Maryan Farah, Owner(612) 401-1786
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Provision Wellness Center LLC
Registry dates
- Enumerated
- 2019-04-17
- Last updated
- 2026-04-02
- Certified
- 2026-04-02
Frequently asked questions
- What is Provision Wellness Center LLC's NPI number?
- Provision Wellness Center LLC's National Provider Identifier (NPI) is 1427611318, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provision Wellness Center LLC?
- Provision Wellness Center LLC is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Provision Wellness Center LLC located?
- Provision Wellness Center LLC's practice location on file with NPPES is 4001 Stinson Blvd, St. Anthony, MN 55421-3488.
- What is Provision Wellness Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Provision Wellness Center LLC is (612) 401-1786.
- Who is the authorized official for Provision Wellness Center LLC?
- The authorized official listed on Provision Wellness Center LLC's NPPES record is Maryan Farah, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provision Wellness Center LLC's NPI active?
- Yes — Provision Wellness Center LLC's NPI (1427611318) is active in the NPPES registry as of the last update on 2026-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.