Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Supertherapy

Organization Mental Health Counselor · NPI 1104664341

Supertherapy is a Mental Health Counselor in Madison, Ohio. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

59 S Lake St
Madison, OH 44057-3245
Phone: (234) 212-8254
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1104664341
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Boyce — Clinical Counselor · (234) 212-8254
Other names Supertherapy; Michael Boyce
NPI enumeratedJuly 19, 2024
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024
Mailing address59 S Lake St, Madison, OH 44057-3245

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