Active NPIOrganization

Supportive Care Of Michigan LLC

Psychologist, Clinical in Iron River, Michigan

NPI Number1659030591
Practice location
330 Lincoln Ave, Iron River, MI 49935-8452
Fax
—
Last updated
December 8, 2021

Supportive Care Of Michigan LLC is a healthcare organization based in Iron River, MI. Supportive Care Of Michigan LLC practices in Iron River, MI. The NPI Number for Supportive Care Of Michigan LLC is 1659030591. The current practice location address for Supportive Care Of Michigan LLC is 330 Lincoln Ave, Iron River, MI 49935-8452 and can be reached out via phone at 718-298-2753.

Provider Profile Details

NPI Number
1659030591
Provider Name
Supportive Care Of Michigan LLC
Provider Entity Type
Organization
Address
330 Lincoln Ave, Iron River, MI 49935-8452
Phone Number
718-298-2753
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Organization Subpart
No
Authorized Official
Raphael Lichtschein · President · 718-298-4375
Provider Enumeration Date
December 8, 2021
Last Update Date
December 8, 2021
Certification Date
December 8, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
330 Lincoln Ave
Iron River, MI 49935-8452
Zip
49935-8452
Phone Number
718-298-2753
Iron River, MI 49935Get directions →

Provider Business Mailing Address Details

Address
27 Randolph RD
Howell, NJ 07731-8611
City
Howell
State
NJ
Zip
07731-8611
Phone Number
718-298-2753

License Information

Taxonomy
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 Michigan LLC?

The NPI number of Supportive Care Of Michigan LLC is 1659030591. It was assigned on December 8, 2021 and is currently active in the NPPES registry.

What is the specialty of Supportive Care Of Michigan LLC?

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

Where does Supportive Care Of Michigan LLC practice?

The practice location is 330 Lincoln Ave, Iron River, MI 49935-8452. The office can be reached at 718-298-2753 (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 1659030591 directly on the NPPES registry website.

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