OrganizationActive
Theresa Williams
NPI 1235561069 · Mental Illness Community Based Residential Treatment Facility · Wildwood, FL
Provider details
- NPI number
- 1235561069
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Theresa Williams, LPN(352) 748-7032
- License
- WER1234 (FL)
Specialties & taxonomies
Residential Treatment Facilities
Transportation Services
- Respite Care385H00000X
Respite Care Facility
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
301 Stone St
Wildwood, FL 34785-3344
Phone: (352) 748-7032
Fax: (352) 748-7032
Street-level locationGet directions
Mailing address
301 Stone St
Wildwood, FL 34785-3344
Registry dates
- Enumerated
- 2013-08-02
- Last updated
- 2013-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.