Healthcare Provider Details

I. General information

NPI: 1972485266
Provider Name (Legal Business Name): GOLDEN MIND MENTAL HEALTH LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2025
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8931 TAFT ST
PEMBROKE PINES FL
33024-4648
US

IV. Provider business mailing address

8931 TAFT ST
PEMBROKE PINES FL
33024-4648
US

V. Phone/Fax

Practice location:
  • Phone: 786-462-3511
  • Fax:
Mailing address:
  • Phone: 786-462-3511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE ESPERANZA PEREA REYES
Title or Position: ADMINISTRATOR
Credential: CNA
Phone: 786-462-3511