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PROVISION WELLNESS CENTER LLC
NPI 1427611318
Clinic/Center - Adult Mental Health in St. Anthony, MN

Active since April 17, 2019
4001 STINSON BLVD, SUITE 300, ST. ANTHONY, MN 55421(612) 401-1786 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 2, 2026, Nov 24, 2021, Apr 17, 2019 (3 updates tracked since 2019).

About Provision Wellness Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVISION WELLNESS CENTER LLC (NPI 1427611318) is a healthcare organization registered as an adult mental health in St. Anthony, Minnesota and active in the NPI registry since April 2019. The organization lists Maryan Farah, Owner, as its authorized official.

NPPES Registry Identity

NPI1427611318
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NamePROVISION WELLNESS CENTER LLC
Location Address4001 STINSON BLVD, SUITE 300St. Anthony, MN 55421-3488
Mailing Address4001 Stinson Blvd Ne Ste 300Minneapolis, MN 55421-3424 · (612) 401-1786
Phone(612) 401-1786
Organization SubpartNo
Authorized OfficialMaryan FarahOwner · (612) 401-1786
Enumeration DateApril 17, 2019
Last NPPES UpdateApril 2, 20263 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
✔ NPI 1427611318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

4001 STINSON BLVD, St. Anthony, MN 55421
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Other Names 1

Doing Business AsProvision Wellness Center Llc

Reviews for PROVISION WELLNESS CENTER LLC

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Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

DR. SHOBANA MURALI M.D.
Ophthalmology
4001 STINSON BLVD, SUITE 100
MINNEAPOLIS, MN 55421
Anoka County (612) 788-1621
DR. SPENCER ALLAN JOHNSON MD
Family Medicine
4001 STINSON BLVD, STE 404
MINNEAPOLIS, MN 55421
Anoka County (612) 706-9630
EYE CARE ASSOCIATES PA
Ophthalmology
4001 STINSON BLVD, SUITE 100
MINNEAPOLIS, MN 55421
Anoka County (612) 788-1621
DR. WENDY L ENGSTROM D.D.S.
Dentist (General Practice)
4001 STINSON BLVD, SUITE 310
MINNEAPOLIS, MN 55421
Anoka County (612) 781-1175
NORMAN TODD RIGGS M.DIV., L.I.C.S.W.
Social Worker (Clinical)
4001 STINSON BLVD, SUITE 404
MINNEAPOLIS, MN 55421
Anoka County (612) 706-9630
AFFINITY MINISTRIES INC.
Social Worker (Clinical)
4001 STINSON BLVD, SUITE 404
MINNEAPOLIS, MN 55421
Anoka County (612) 706-9630
SCOTT A. ARMSTRONG, D.D.S.
Dentist (General Practice)
4001 STINSON BLVD, SUITE 420
MINNEAPOLIS, MN 55421
Anoka County (612) 788-5151
COMPLETE HOME HEALTH SERVICES PCA
Home Health
4001 STINSON BLVD, SUITE LL32
MINNEAPOLIS, MN 55421
Anoka County (612) 788-2273
BEST HEARING PRODUCTS INC
Hearing Instrument Specialist
4001 STINSON BLVD, STE 401
ST. ANTHONY, MN 55421
Anoka County (612) 781-5830
DR. BIBI NOMO NEUMANN PSY.D.
Counselor
4001 STINSON BLVD, SUITE 223
MINNEAPOLIS, MN 55421
Anoka County (612) 666-3111
ADDICTION CARE PHYSICIANS
Substance Abuse Rehabilitation Facility
4001 STINSON BLVD, SUITE 212
MINNEAPOLIS, MN 55421
Anoka County (612) 788-2273
JAN DIANE JOHNSON MD
Internal Medicine (Critical Care Medicine)
4001 STINSON BLVD, STE 404
MINNEAPOLIS, MN 55421
Anoka County (612) 706-9630
DR. SCOTT A. ARMSTRONG D.D.S.
Dentist (General Practice)
4001 STINSON BLVD, SUITE 420
MINNEAPOLIS, MN 55421
Anoka County (612) 788-5151
DR. MICHAEL EDWARD FORBES DDS
Dentist
4001 STINSON BLVD, SUITE 426
MINNEAPOLIS, MN 55421
Anoka County (612) 788-0751
MR. THOMAS LYNN TAUSCHECK DPM
Podiatrist
4001 STINSON BLVD, STE 232
MINNEAPOLIS, MN 55421
Anoka County (612) 788-7274

Frequently Asked Questions

What is PROVISION WELLNESS CENTER LLC's NPI number?

The NPI number assigned to this healthcare provider is 1427611318, enumerated as an "organization" on April 17, 2019.

Where is the provider located?

The provider is located at 4001 STINSON BLVD SUITE 300 ST. ANTHONY, MN 55421 and the phone number is (612) 401-1786.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.