SUPREME TEENS L&C NPI 1689934077

NPI Information

  • NPI: 1689934077
  • Provider Name: SUPREME TEENS, L&C
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 14495 HWY 301 N.
    ENFIELD, NC
    ZIP 27823
  • Phone: (252) 467-3407

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NPI Details

SUPREME TEENS, L&C is a mental health counselor in Enfield, NC. SUPREME TEENS, L&C NPI is 1689934077. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14495 HWY 301 N.
ENFIELD, NC
ZIP 27823
Phone: (252) 467-3407
Fax: (252) 445-1073

The provider's authorized official is Trevathan Marquette El .
The authorized official title is Director/coordinator and has the following contact phone number (252) 467-3407.

The enumeration date for this NPI number is 5/21/2012 and was last updated on 5/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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