Provider Demographics
NPI:1770686883
Name:MESCH, DANIEL RICARDO (LMHC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:RICARDO
Last Name:MESCH
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:975 ARTHUR GODFREY ROAD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33140
Mailing Address - Country:US
Mailing Address - Phone:305-672-0588
Mailing Address - Fax:954-472-2189
Practice Address - Street 1:975 ARTHUR GODFREY ROAD
Practice Address - Street 2:SUITE 303
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33140
Practice Address - Country:US
Practice Address - Phone:305-672-0588
Practice Address - Fax:954-472-2189
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH0003639101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health