Organization
WHOLE SELF WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA STEPHANIE DAMERON APRN (APRN/OWNER)
(860) 222-0949
Entity
Organization
Contact information
Practice address
12 CASE ST STE 103, NORWICH, CT 06360-2222
(860) 222-0949
(855) 538-2802
Mailing address
12 CASE ST STE 103, NORWICH, CT 06360-2222
(860) 222-0949
(855) 538-2802
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
004768
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356624027
NPI
CT
Enumeration date
10/11/2016
Last updated
10/06/2025
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