Provider Demographics
NPI:1649913021
Name:EPIC MENTAL HEALTH AND WELLNESS, PLLC
Entity type:Organization
Organization Name:EPIC MENTAL HEALTH AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LCSW
Authorized Official - Prefix:
Authorized Official - First Name:CEDRINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:RUFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-226-7029
Mailing Address - Street 1:2407 MAYWOOD RUN CT
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-7141
Mailing Address - Country:US
Mailing Address - Phone:281-736-0671
Mailing Address - Fax:832-610-3976
Practice Address - Street 1:4220 CARTWRIGHT RD STE 1005
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2449
Practice Address - Country:US
Practice Address - Phone:832-226-7029
Practice Address - Fax:832-610-3976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)