OrganizationActive
Tmw Wellness PLLC
NPI 1700580198 · Mental Health Counselor · Wolcott, CT
Provider details
- NPI number
- 1700580198
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Parent organization
- The Modern Woman Health & Wellness Center PLLC
- Organization subpart
- Yes
- Authorized official
- Shivanna Subramni-Gonzalez, Cmo(203) 725-5339
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
504 Wolcott Rd Ste C
Wolcott, CT 06716-2462
Phone: (203) 504-9507
Street-level locationGet directions
Mailing address
504 Wolcott Rd Ste C
Wolcott, CT 06716-2462
Registry dates
- Enumerated
- 2023-03-29
- Last updated
- 2023-03-29
- Certified
- 2023-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.