Healthcare Provider Details

I. General information

NPI: 1972468346
Provider Name (Legal Business Name): COMPEQ HEALTH & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1821 UNIVERSITY AVE W STE 464-21
SAINT PAUL MN
55104-2801
US

IV. Provider business mailing address

9108 BRENTWOOD TRL
WOODBURY MN
55125-8677
US

V. Phone/Fax

Practice location:
  • Phone: 651-363-6090
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: STELLA ESSIEN
Title or Position: OWNER
Credential:
Phone: 651-983-6109