Organization
MLT WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN THEROUX LMFT (MEMBER/OWNER)
(860) 307-1424
Entity
Organization
Contact information
Practice address
5 FOREST PARK DR, FARMINGTON, CT 06032-1476
(860) 307-1424
Mailing address
757 LAKE AVE APT 25, BRISTOL, CT 06010-7386
(860) 307-1424
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
05/16/2024
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