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Organization

SUPREME STANDARD PEER SUPPORT AND WELLNESS INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GIANINA WALKER (OWNER)
(317) 453-6323
Entity
Organization

Contact information

Practice address
109 HAY ST STE 202, FAYETTEVILLE, NC 28301-6107
(317) 453-6323
(317) 799-9896
Mailing address
109 HAY ST STE 202, FAYETTEVILLE, NC 28301-6107
(317) 453-6323
(317) 799-9896

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
175T00000X
Peer Specialist
Primary

Other

Enumeration date
06/30/2026
Last updated
06/30/2026
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