Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LIMINAL THERAPY SPACE LICENSED CLINICAL SOCIAL WORKER INC
Active
Organization
LIMINAL THERAPY SPACE LICENSED CLINICAL SOCIAL WORKER INC
Active
Other names
Liminal Therapy Space
Organization subpart
No
Provider details
NPI number
Authorized official
MADISON PARK LCSW (PSYCHOTHERAPIST/OWNER)
(714) 882-9112
Entity
Organization
Contact information
Practice address
1151 DOVE ST STE 235, NEWPORT BEACH, CA 92660-2806
(714) 882-9112
Mailing address
19712 MACARTHUR BLVD STE 110, IRVINE, CA 92612-2407
(714) 882-9112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up