Provider Demographics
NPI:1255948949
Name:OPTIMUM MENTAL HEALTH SOLUTIONS INC
Entity type:Organization
Organization Name:OPTIMUM MENTAL HEALTH SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-344-3562
Mailing Address - Street 1:11272 SW 137TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4203
Mailing Address - Country:US
Mailing Address - Phone:786-424-1584
Mailing Address - Fax:786-478-6227
Practice Address - Street 1:11272 SW 137TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4203
Practice Address - Country:US
Practice Address - Phone:786-344-3562
Practice Address - Fax:786-678-6227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-26
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management