NPI 1245969690

Supportive Care of Vermont LLC

Organisation Clinical Psychologist Richmond, VT

Practice location

Address: 1478 Huntington Rd, Richmond, VT 05477-9726
Phone: (718) 298-4375
Mailing address: 27 Randolph Rd, Howell, NJ 07731-8611

Authorised official

Name: Raphael Lichtschein
Title: President
Phone: (718) 298-4375

Registered specialties (3)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X

Other Psychologist providers in Vermont →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Other Social Worker providers in Vermont →

Psychiatric/Mental Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X

Other Nurse Practitioner providers in Vermont →

Registry record

NPI: 1245969690
Entity type: Organization
NPI issued: 9 Jun 2022
Record last updated: 9 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.