MEDICARE: LIMINAL MARRIAGE AND FAMILY THERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1235949819
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIMINAL MARRIAGE AND FAMILY THERAPY, LLC

Provider Business Mailing Address
First Line	:	244 E 3RD ST UNIT 20425
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10009-9611
Country	:	US
Telephone Number	:	917-727-0759
Fax Number	:	646-607-3344

Provider Business Practice Location Address
First Line	:	244 E 3RD ST UNIT 20425
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10009-9611
Country	:	US
Telephone Number	:	917-727-0759
Fax Number	:	646-607-3344

Authorized Official
Title or Position	:	OWNER
Name	:	MS. MELISSA M FLORES
Credential	:	LMFT
Telephone Number	:	917-727-0759

Provider Enumeration Date	:	01/07/2025
Last Update Date	:	12/26/2025

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