MEDICARE: AROUND THE HEARTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst
2	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1982333126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AROUND THE HEARTH LLC

Provider Business Mailing Address
First Line	:	1574 NEW HAVEN AVE
Second Line	:
City	:	MILFORD
State	:	CT
Zip	:	06460-8220
Country	:	US
Telephone Number	:	475-259-4789
Fax Number	:

Provider Business Practice Location Address
First Line	:	1574 NEW HAVEN AVE
Second Line	:
City	:	MILFORD
State	:	CT
Zip	:	06460-8220
Country	:	US
Telephone Number	:	475-259-4789
Fax Number	:

Authorized Official
Title or Position	:	CHIEF CLINICAL OFFICER
Name	:	EUGENIA MULLENIX
Credential	:	LMFT, BCBA, LBA-CT
Telephone Number	:	475-259-4789

Provider Enumeration Date	:	06/05/2022
Last Update Date	:	08/28/2022

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Directions to “AROUND THE HEARTH LLC ” Practice Location

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