# MLT WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548827835
- **Authorized official:** MEGAN THEROUX LMFT (MEMBER/OWNER)
- **Authorized official phone:** (860) 307-1424

## Contact information

- **Practice address:** 5 FOREST PARK DR, FARMINGTON, CT 06032-1476
- **Practice address phone:** (860) 307-1424
- **Mailing address:** 757 LAKE AVE APT 25, BRISTOL, CT 06010-7386
- **Mailing address phone:** (860) 307-1424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2019
- **Last updated:** 05/16/2024