EPIC TRANSFORMATION WELLNESS CENTER, LLC - NPI 1710779905

Q: What is Epic Transformation Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

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About Epic Transformation Wellness Center, Llc NPPES

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

EPIC TRANSFORMATION WELLNESS CENTER, LLC (NPI 1710779905) is a healthcare organization registered as a mental health in Las Vegas, Nevada and active in the NPI registry since May 2025. The organization lists Illyas Malik Jenkins, Ceo/founder, as its authorized official.

NPPES Registry Identity

NPI1710779905

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameEPIC TRANSFORMATION WELLNESS CENTER, LLC

Location Address2620 REGATTA DRLas Vegas, NV 89128-6891

Mailing Address8904 Trickling Springs CtLas Vegas, NV 89149-2991 · (954) 380-0875

Phone(954) 380-0875

Organization SubpartNo

Authorized OfficialIllyas Malik JenkinsCeo/founder · (954) 380-0875

Enumeration DateMay 21, 2025

NPPES CertifiedMay 21, 2025

✔ NPI 1710779905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

2620 REGATTA DR, Las Vegas, NV 89128

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOAN M BURLEY LCSW

Social Worker (Clinical)

2620 REGATTA DR, SUITE 102
LAS VEGAS, NV 89128

Clark County (702) 203-3903

WENDY E GUARDADO PERDOMO

Technician (Personal Care Attendant)

2620 REGATTA DR
LAS VEGAS, NV 89128

Clark County (702) 546-0228

DAWN K DIALON M.S., MFT, LADC

Counselor (Addiction (Substance Use Disorder))

2620 REGATTA DR, SUITE 102
LAS VEGAS, NV 89128

Clark County (702) 553-1070

DR. JAMES M WAGNER DDS

Dentist (General Practice)

2620 REGATTA DR, 110
LAS VEGAS, NV 89128

Clark County (702) 648-1200

DENIA S MATA HERNADEZ

Technician (Personal Care Attendant)

2620 REGATTA DR
LAS VEGAS, NV 89128

Clark County (702) 546-0228

MARIA A SANCHEZ

Technician (Attendant Care Provider)

2620 REGATTA DR
LAS VEGAS, NV 89128

Clark County (702) 546-0228

JEREMY LEAVITT MS, LMFT, CADCI

Marriage & Family Therapist

2620 REGATTA DR, SUITE 102
LAS VEGAS, NV 89128

Clark County (702) 769-7441

COMPANION CARE SUPPORT SERVICES LLC

In Home Supportive Care

2620 REGATTA DR, SUITE 102
LAS VEGAS, NV 89128

Clark County (702) 485-7509

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Epic Transformation Wellness Center, LLC's NPI number?

The NPI number for Epic Transformation Wellness Center, LLC is 1710779905. It was assigned to this organization in the NPPES registry on May 21, 2025.

Where is Epic Transformation Wellness Center, LLC located?

Epic Transformation Wellness Center, LLC is located at 2620 Regatta Dr, Las Vegas, NV 89128. The listed phone number is (954) 380-0875.

What is Epic Transformation Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Epic Transformation Wellness Center, LLC was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.