MEDICARE: OPUS THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1700332954
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPUS THERAPY

Provider Business Mailing Address
First Line	:	3902 MILWAUKEE ST.
Second Line	:	W428
City	:	MADISON
State	:	WI
Zip	:	53707-1788
Country	:	US
Telephone Number	:	608-305-4097
Fax Number	:	608-690-5242

Provider Business Practice Location Address
First Line	:	3902 MILWAUKEE ST.
Second Line	:	W428
City	:	MADISON
State	:	WI
Zip	:	53707-1788
Country	:	US
Telephone Number	:	608-305-4097
Fax Number	:	608-690-5242

Authorized Official
Title or Position	:	OWNER
Name	:	MELISSA JO BLEILER
Credential	:	LMFT, LPC
Telephone Number	:	608-720-9989

Provider Enumeration Date	:	08/28/2016
Last Update Date	:	12/27/2023

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Directions to “OPUS THERAPY ” Practice Location

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