# COMMUNITY WELLNESS COUNSELING AND SUPPORT SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1043966971
- **Authorized official:** WINTER COLLINS LCSW (OWNER)
- **Authorized official phone:** (850) 643-1033

## Contact information

- **Practice address:** 10611 NW STATE ROAD 20, BRISTOL, FL 32321-3441
- **Practice address phone:** (850) 643-1033
- **Mailing address:** 10611 NW STATE ROAD 20, BRISTOL, FL 32321-3441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/01/2022
- **Last updated:** 03/01/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1080947-00 | — | FL |