Healthcare Provider Details

I. General information

NPI: 1538866975
Provider Name (Legal Business Name): MLC MARKETING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2023
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 NEW BRITAIN AVE
HARTFORD CT
06106-4033
US

IV. Provider business mailing address

602 NEW BRITAIN AVE
HARTFORD CT
06106-4033
US

V. Phone/Fax

Practice location:
  • Phone: 860-578-2314
  • Fax: 888-370-4970
Mailing address:
  • Phone: 860-578-2314
  • Fax: 888-370-4970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateNULL

VIII. Authorized Official

Name: VANESSA SENA
Title or Position: OWNER
Credential:
Phone: 909-633-9590