Healthcare Provider Details

I. General information

NPI: 1497666366
Provider Name (Legal Business Name): LIMINAL LIGHT MARRIAGE & FAMILY THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 5TH AVE FL 11
NEW YORK NY
10001-8017
US

IV. Provider business mailing address

565 PLANDOME RD # 177
MANHASSET NY
11030-1945
US

V. Phone/Fax

Practice location:
  • Phone: 516-246-6889
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: HANNAH WEDNESDAY SHERIDAN
Title or Position: OWNER
Credential: LMFT
Phone: 516-246-6889