OrganizationEpic Transformation Wellness Center, LlcCounselorBehavioral Health & Social Service ProvidersPractice Address2620 Regatta Dr, Las Vegas, NV 89128-6891(954) 380-0875PECOS EnrollmentBased on the most recent information from CMS, provider Epic Transformation Wellness Center, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1710779905Provider TypeOrganizationFull NameEpic Transformation Wellness Center, LlcSubpartNoEnumeration Date5/21/2025Last Updated5/21/2025Contact InformationPractice LocationPractice Address2620 Regatta Dr, Las Vegas, NV 89128-6891Phone(954) 380-0875FaxUnlisted FaxMailing LocationMailing Address8904 Trickling Springs Ct, Las Vegas, NV 89149-2991Phone(954) 380-0875FaxUnlisted FaxAuthorized OfficialNameJenkins, Illyas Malik (Ceo/Founder)Phone(954) 380-0875Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer