# POTENZA WELLNESS SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063101863
- **Authorized official:** STEPHANIE POTENZA LMFT (LICENSED MARITAL & FAMILY THERAPIST)
- **Authorized official phone:** (203) 307-0190

## Contact information

- **Practice address:** 66 HUNTINGTON ST, SHELTON, CT 06484-5250
- **Practice address phone:** (203) 307-0190
- **Mailing address:** 66 HUNTINGTON ST, SHELTON, CT 06484-5250
- **Mailing address phone:** (203) 307-0190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2023
- **Last updated:** 03/15/2025
