MEDICARE: SEVEN SUPERIOR SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1962353060
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEVEN SUPERIOR SERVICES, LLC

Provider Business Mailing Address
First Line	:	6820 HOMINY CT
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23231-5709
Country	:	US
Telephone Number	:	804-931-7016
Fax Number	:

Provider Business Practice Location Address
First Line	:	6820 HOMINY CT
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23231-5709
Country	:	US
Telephone Number	:	804-931-7016
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	TERRICE TRAVERS
Credential	:
Telephone Number	:	804-931-7016

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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Directions to “SEVEN SUPERIOR SERVICES, LLC ” Practice Location

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