Healthcare Provider Details

I. General information

NPI: 1003352279
Provider Name (Legal Business Name): DAYANA MENDEZ LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2017
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4175 W 20TH AVE
HIALEAH FL
33012-5874
US

IV. Provider business mailing address

8003 NW 67TH AVE
TAMARAC FL
33321-7021
US

V. Phone/Fax

Practice location:
  • Phone: 305-825-0300
  • Fax: 786-334-5826
Mailing address:
  • Phone: 786-975-5261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberMH21981
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH21981
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberMCAP01012030
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: