| Mlt Wellness, Llc | |
|
5 Forest Park Dr Farmington CT 06032-1476 | |
| (860) 307-1424 | |
| Not Available |
| Full Name | Mlt Wellness, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5 Forest Park Dr, Farmington, Connecticut |
| Authorized Official Name and Position | Megan Theroux (MEMBER/OWNER) |
| Authorized Official Contact | 8603071424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mlt Wellness, Llc 757 Lake Ave Apt 25 Bristol CT 06010-7386 Ph: (860) 307-1424 | Mlt Wellness, Llc 5 Forest Park Dr Farmington CT 06032-1476 Ph: (860) 307-1424 |
| NPI Number | 1548827835 |
|---|---|
| Provider Enumeration Date | 05/22/2019 |
| Last Update Date | 05/16/2024 |
| Certification Date | 05/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548827835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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