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

Supreme Life Wellness PLLC

Organization Social Worker · NPI 1245014232

Supreme Life Wellness PLLC is a Social Worker in Southfield, Michigan. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16970 New Hampshire Dr
Southfield, MI 48075-2905
Phone: (313) 522-4708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1245014232
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samantha Trapp — Owner · (313) 522-4708
NPI enumeratedAugust 22, 2023
Last updated in NPPESOctober 12, 2023
Certification dateOctober 12, 2023
Mailing address16970 New Hampshire Dr, Southfield, MI 48075-2905

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