OrganizationActive
Community Wellness Counseling and Support Services
NPI 1043966971 · Case Management Agency · Bristol, FL
Provider details
- NPI number
- 1043966971
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Winter Collins, Owner(850) 643-1033
Specialties & taxonomies
Agencies
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10611 Nw State Road 20
Bristol, FL 32321-3441
Phone: (850) 643-1033
Street-level locationGet directions
Mailing address
10611 Nw State Road 20
Bristol, FL 32321-3441
Registry dates
- Enumerated
- 2022-03-01
- Last updated
- 2022-03-01
- Certified
- 2022-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.