MLT Wellness, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

MLT WELLNESS, LLC

Practice address

5 Forest Park Dr
Farmington, CT 06032-1476

Phone

(860) 307-1424

NPI assigned

May 22, 2019

Last updated

May 16, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Megan Theroux, LMFTNPI 1093076903

Title

Member/Owner

Phone

(860) 307-1424

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Megan Theroux, LMFT

  • Marriage & Family Therapist
  • New Britain, CT
  • NPI 1093076903
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1548827835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 LAKE AVE APT 25",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060107386",
            "telephone_number": "860-307-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FOREST PARK DR",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321476",
            "telephone_number": "860-307-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLT WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "THEROUX",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "860-307-1424",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley J Mitchell, MD
• Megan T Mitchell, PHARMD
• Mitra Kabakoff D.D.D., PLLC
• Ashita Mittal, DO
• Sanjay Mittal, M.D.
• Niala Moallem, MD
• Viraj Indravadan Modi, D.O.
• Laura Moehringer, LCSW
• Amir Mohammad, M.D., MPH
• Shivani Mohan, MD

• Marriage & Family Therapist in Farmington, CT
• Providers in Farmington, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.