Organization
COMMUNITY WELLNESS COUNSELING AND SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WINTER LYNN COLLINS LCSW (LICENSED CLINICAL SOCIAL WORKER)
(850) 643-7724
Entity
Organization
Contact information
Practice address
10611 NW STATE ROAD 20, BRISTOL, FL 32321-3441
(850) 643-1033
(850) 643-5066
Mailing address
10611 NW STATE ROAD 20, BRISTOL, FL 32321-3441
(850) 643-1033
(850) 643-5066
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW11921
FL
252Y00000X
Early Intervention Provider Agency
SW11921
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020917500
—
FL
Enumeration date
07/22/2016
Last updated
09/18/2024
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