Provider Demographics
NPI:1174415657
Name:LOWER MANHATTAN MARRIAGE AND FAMILY THERAPY
Entity type:Organization
Organization Name:LOWER MANHATTAN MARRIAGE AND FAMILY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:AULL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-446-2109
Mailing Address - Street 1:301 W 46TH ST APT 4B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-3808
Mailing Address - Country:US
Mailing Address - Phone:917-446-2109
Mailing Address - Fax:
Practice Address - Street 1:18 E 16TH ST STE 503-14
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3111
Practice Address - Country:US
Practice Address - Phone:917-387-4661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty