Provider Demographics
NPI:1275419368
Name:DAHAN, MENACHEM (RMHCI)
Entity type:Individual
Prefix:
First Name:MENACHEM
Middle Name:
Last Name:DAHAN
Suffix:
Gender:M
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10101 E BAY HARBOR DR APT 505
Mailing Address - Street 2:
Mailing Address - City:BAY HARBOR ISLANDS
Mailing Address - State:FL
Mailing Address - Zip Code:33154-1202
Mailing Address - Country:US
Mailing Address - Phone:818-482-3173
Mailing Address - Fax:
Practice Address - Street 1:10101 E BAY HARBOR DR
Practice Address - Street 2:
Practice Address - City:BAY HARBOR ISLANDS
Practice Address - State:FL
Practice Address - Zip Code:33154-3708
Practice Address - Country:US
Practice Address - Phone:818-482-3173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH26157101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health