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SUPREME HEALTHCARE SERVICES LLC
NPI 1063021939
Counselor - Mental Health in Fort Mill, SC

Active since July 27, 2020
150 BW THOMAS DR, FORT MILL, SC 29708(908) 875-5726 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Supreme Healthcare Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPREME HEALTHCARE SERVICES LLC (NPI 1063021939) is a healthcare organization registered as a mental health in Fort Mill, South Carolina and active in the NPI registry since July 2020. The organization lists Jada Parks, Owner, as its authorized official.

NPPES Registry Identity

NPI1063021939
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSUPREME HEALTHCARE SERVICES LLC
Location Address150 BW THOMAS DRFort Mill, SC 29708-7230
Mailing Address2903 Fairglen RdCharlotte, NC 28269-5410 · (908) 875-5726
Phone(908) 875-5726
Organization SubpartNo
Authorized OfficialJada ParksOwner · (908) 875-5726
Enumeration DateJuly 27, 2020
NPPES CertifiedJuly 27, 2020
✔ NPI 1063021939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
150 BW THOMAS DR, Fort Mill, SC 29708
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEYOND BELIEF FAMILY SERVICES
Counselor (Mental Health)
150 BW THOMAS DR
FORT MILL, SC 29708
York County (980) 200-5370
RIA JAKYRA FAGGART
Counselor (Mental Health)
150 BW THOMAS DR
FORT MILL, SC 29708
York County (980) 777-1111
SOLID ROCK LLC
Community/Behavioral Health
150 BW THOMAS DR
FORT MILL, SC 29708
York County (704) 777-6132
SAS HEALTHCARE
Counselor (Mental Health)
150 BW THOMAS DR
FORT MILL, SC 29708
York County (980) 616-6129
ENLIGHTENMENT HEALTHCARE LLC
Counselor (Mental Health)
150 BW THOMAS DR
FORT MILL, SC 29708
York County (910) 554-4880
MS. SALLY A SMITH LISW ACP
Social Worker
150 BW THOMAS DR, STE 125
FT MILL, SC 29708
York County (803) 547-7099
1 FOUNDATION
Counselor (Mental Health)
150 BW THOMAS DR
FORT MILL, SC 29708
York County (773) 946-0995
DENISE MICHELLE SMITH
Counselor (Pastoral)
150 BW THOMAS DR
FORT MILL, SC 29708
York County (843) 478-4187

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supreme Healthcare Services LLC's NPI number?

The NPI number for Supreme Healthcare Services LLC is 1063021939. It was assigned to this organization in the NPPES registry on July 27, 2020.

Where is Supreme Healthcare Services LLC located?

Supreme Healthcare Services LLC is located at 150 Bw Thomas Dr, Fort Mill, SC 29708. The listed phone number is (908) 875-5726.

What is Supreme Healthcare Services LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Supreme Healthcare Services LLC was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.