| Supreme Healthcare Services Llc | |
|
150 Bw Thomas Dr Fort Mill SC 29708-7230 | |
| (908) 875-5726 | |
| Not Available |
| Full Name | Supreme Healthcare Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 150 Bw Thomas Dr, Fort Mill, South Carolina |
| Authorized Official Name and Position | Jada Parks (OWNER) |
| Authorized Official Contact | 9088755726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supreme Healthcare Services Llc 2903 Fairglen Rd Charlotte NC 28269-5410 Ph: (908) 875-5726 | Supreme Healthcare Services Llc 150 Bw Thomas Dr Fort Mill SC 29708-7230 Ph: (908) 875-5726 |
| NPI Number | 1063021939 |
|---|---|
| Provider Enumeration Date | 07/27/2020 |
| Last Update Date | 07/27/2020 |
| Certification Date | 07/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063021939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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