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

Supreme Healthcare Services LLC

Organization Mental Health Counselor · NPI 1063021939

Supreme Healthcare Services LLC provides Mental Health Counselor services 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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