Organization
SUPPORTIVE CARE OF MAINE LLC
Active
Organization
SUPPORTIVE CARE OF MAINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAPHAEL LICHTSHCEIN (PRESIDENT)
(718) 298-4375
Entity
Organization
Contact information
Practice address
516 MOUNT HOPE AVE, BANGOR, ME 04401-4215
(718) 298-2753
Mailing address
27 RANDOLPH RD, HOWELL, NJ 07731-8611
(718) 298-4375
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up