Healthcare Provider Details

I. General information

NPI: 1750236667
Provider Name (Legal Business Name): OPUS MENTAL HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 NW 25TH ST STE 220
MIAMI FL
33122-1714
US

IV. Provider business mailing address

7500 NW 25TH ST STE 220
MIAMI FL
33122-1714
US

V. Phone/Fax

Practice location:
  • Phone: 305-560-8236
  • Fax: 786-485-1309
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: GEORGINA DOMENECH
Title or Position: OWNER
Credential:
Phone: 551-208-2590