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

Supreme Healthcare Services LLC

Organization Mental Health Counselor · NPI 1063021939

Supreme Healthcare Services LLC is a Mental Health Counselor in Fort Mill, South Carolina. Registered with an NPI since 2020.

In the registry since
2020
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

150 Bw Thomas Dr
Fort Mill, SC 29708-7230
Phone: (908) 875-5726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1063021939
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jada Parks — Owner · (908) 875-5726
NPI enumeratedJuly 27, 2020
Last updated in NPPESJuly 27, 2020
Certification dateJuly 27, 2020
Mailing address2903 Fairglen Rd, Charlotte, NC 28269-5410

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