Provider Demographics
NPI:1235949819
Name:LIMINAL MARRIAGE AND FAMILY THERAPY, LLC
Entity type:Organization
Organization Name:LIMINAL MARRIAGE AND FAMILY THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:M
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:917-727-0759
Mailing Address - Street 1:244 E 3RD ST UNIT 20425
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-9611
Mailing Address - Country:US
Mailing Address - Phone:917-727-0759
Mailing Address - Fax:646-607-3344
Practice Address - Street 1:8804 63RD DR APT 502
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-3827
Practice Address - Country:US
Practice Address - Phone:917-727-0759
Practice Address - Fax:646-607-3344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health