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Organization

COMMUNITY WELLNESS COUNSELING AND SUPPORT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WINTER COLLINS LCSW (CEO)
(850) 643-1033
Entity
Organization

Contact information

Practice address
2940 E PARK AVE STE C, TALLAHASSEE, FL 32301-3448
(850) 643-1033
Mailing address
10611 NW STATE ROAD 20, BRISTOL, FL 32321-3441
(850) 643-1033

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0209175-02
FL
Enumeration date
06/30/2021
Last updated
09/18/2024
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