MEDICARE: DAYANA MENDEZ LMHC

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	103K00000X	Behavior Analyst	MH21981	FL
2	101YM0800X	Mental Health Counselor	MH21981	FL
3	101YA0400X	Addiction (Substance Use Disorder) Counselor	MCAP01012030	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003352279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAYANA MENDEZ LMHC

Provider Business Mailing Address
First Line	:	8003 NW 67TH AVE
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-7021
Country	:	US
Telephone Number	:	786-975-5261
Fax Number	:

Provider Business Practice Location Address
First Line	:	4175 W 20TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-5874
Country	:	US
Telephone Number	:	305-825-0300
Fax Number	:	786-334-5826

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2017
Last Update Date	:	03/04/2026

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Directions to “ DAYANA MENDEZ LMHC” Practice Location

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