Active NPIOrganization

Supportive Care Of South Carolina LLC

Psychologist, Clinical in Mt Pleasant, South Carolina

NPI Number1417681412
Practice location
734 York St, Mt Pleasant, SC 29464-2615
Fax
—
Last updated
July 14, 2022

Supportive Care Of South Carolina LLC is a healthcare organization based in Mt Pleasant, SC. Supportive Care Of South Carolina LLC practices in Mt Pleasant, SC. The NPI Number for Supportive Care Of South Carolina LLC is 1417681412. The current practice location address for Supportive Care Of South Carolina LLC is 734 York St, Mt Pleasant, SC 29464-2615 and can be reached out via phone at 718-298-4375.

Provider Profile Details

NPI Number
1417681412
Provider Name
Supportive Care Of South Carolina LLC
Provider Entity Type
Organization
Address
734 York St, Mt Pleasant, SC 29464-2615
Phone Number
718-298-4375
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Organization Subpart
No
Authorized Official
Raphael Lichtschein · President · 718-298-4375
Provider Enumeration Date
July 14, 2022
Last Update Date
July 14, 2022
Certification Date
July 14, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
734 York St
Mt Pleasant, SC 29464-2615
Zip
29464-2615
Phone Number
718-298-4375
Mt Pleasant, SC 29464Get directions →

Provider Business Mailing Address Details

Address
27 Randolph RD
Howell, NJ 07731-8611
City
Howell
State
NJ
Zip
07731-8611
Phone Number
718-298-4375

License Information

Taxonomy (1)
Social Worker, Clinical · 1041C0700X
Taxonomy (2)
Nurse Practitioner · 363L00000X
Taxonomy (3)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Supportive Care Of South Carolina LLC?

The NPI number of Supportive Care Of South Carolina LLC is 1417681412. It was assigned on July 14, 2022 and is currently active in the NPPES registry.

What is the specialty of Supportive Care Of South Carolina LLC?

Supportive Care Of South Carolina LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).

Where does Supportive Care Of South Carolina LLC practice?

The practice location is 734 York St, Mt Pleasant, SC 29464-2615. The office can be reached at 718-298-4375 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417681412 directly on the NPPES registry website.

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