Healthcare Provider Details

I. General information

NPI: 1831279280
Provider Name (Legal Business Name): EPIC COMMUNITY SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 02/21/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 OLD DIXIE HWY
ST AUGUSTINE FL
32084-4190
US

IV. Provider business mailing address

3910 LEWIS SPEEDWAY STE 1106
ST AUGUSTINE FL
32084-8649
US

V. Phone/Fax

Practice location:
  • Phone: 904-829-2273
  • Fax:
Mailing address:
  • Phone: 904-829-2273
  • Fax: 904-824-0724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number0455AD258200
License Number StateFL

VIII. Authorized Official

Name: MRS. NANGELA PULSFUS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MHL,BSN,RN-C
Phone: 904-829-2273