Provider Demographics
NPI:1356076905
Name:EPOCH EXPRESSIONS LLC
Entity Type:Organization
Organization Name:EPOCH EXPRESSIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FALOTICO
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:586-209-3929
Mailing Address - Street 1:42850 SCHOENHERR RD STE 4
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-2875
Mailing Address - Country:US
Mailing Address - Phone:586-209-3929
Mailing Address - Fax:
Practice Address - Street 1:42850 SCHOENHERR RD STE 4
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-2875
Practice Address - Country:US
Practice Address - Phone:586-209-3929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-19
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health