Healthcare Provider Details

I. General information

NPI: 1982333126
Provider Name (Legal Business Name): AROUND THE HEARTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2022
Last Update Date: 08/28/2022
Certification Date: 08/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1574 NEW HAVEN AVE
MILFORD CT
06460-8220
US

IV. Provider business mailing address

1574 NEW HAVEN AVE
MILFORD CT
06460-8220
US

V. Phone/Fax

Practice location:
  • Phone: 475-259-4789
  • Fax:
Mailing address:
  • Phone: 475-259-4789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

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