Support Source of North Carolina

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SUPPORT SOURCE OF NORTH CAROLINA

Practice address

312 Wellwater Ave
Durham, NC 27703-9971

Phone

(919) 771-3231

NPI assigned

Jan 7, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Arkaemi Fuller

Title

Ceo

Phone

(609) 346-4003

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1497612816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 WELLWATER AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277039971",
            "telephone_number": "919-771-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 WELLWATER AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277039971",
            "telephone_number": "919-771-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT SOURCE OF NORTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "ARKAEMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-346-4003"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Superior Healthcare Physical Medicine
• Supportive Counseling Services, PLLC
• Jillian Brooke Supranowitz
• Supreme Care, Inc.
• Supreme Family Care Home
• Supreme Family Care Home

• Community/Behavioral Health Agency in Durham, NC
• Providers in Durham, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.