=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659215762
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LIGHT AS A FEATHER THERAPY, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/17/2026
-----------------------------------------------------
Last Update Date | 04/17/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1319 GARY BLVD
-----------------------------------------------------
City | BRUNSWICK
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44212-2913
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-218-4240
-----------------------------------------------------
Fax | 440-425-3252
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1319 GARY BLVD
-----------------------------------------------------
City | BRUNSWICK
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44212-2913
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-218-4240
-----------------------------------------------------
Fax | 440-425-3252
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | HANNAH MCDONALD
-----------------------------------------------------
Credential | IMFT
-----------------------------------------------------
Telephone | 440-218-4240
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------