Provider Demographics
NPI:1801027560
Name:RAVANSHENAS, DANIEL (LMFT)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:RAVANSHENAS
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 S SHERBOURNE DR PH 1
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-2369
Mailing Address - Country:US
Mailing Address - Phone:310-980-2827
Mailing Address - Fax:
Practice Address - Street 1:2405 CLOY AVE
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:CA
Practice Address - Zip Code:90291-4752
Practice Address - Country:US
Practice Address - Phone:310-980-2827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-29
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
53957106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist