Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Phc Supportive Services LLC

Organization Professional Counselor · NPI 1073905378

Phc Supportive Services LLC provides Professional Counselor services in Mauldin, South Carolina. Licensed in South Carolina. Registered with an NPI since 2015.

Licensed in
SC
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

300 W Butler Rd Ste B
Mauldin, SC 29662-2585 Not confirmed with CMS for 11 years — call before visiting
Phone: (864) 478-8688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5544 (SC)

Record details

NPI number1073905378
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerothia McCullough — Owner · (864) 478-8688
NPI enumeratedFebruary 23, 2015
Last updated in NPPESFebruary 23, 2015
Mailing address300 W Butler Rd, Suite B, Mauldin, SC 29662-2585

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