| Supportive Care Of Michigan Llc | |
|
330 Lincoln Ave Iron River MI 49935-8452 | |
| (718) 298-2753 | |
| Not Available |
| Full Name | Supportive Care Of Michigan Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 330 Lincoln Ave, Iron River, Michigan |
| Authorized Official Name and Position | Raphael Lichtschein (PRESIDENT) |
| Authorized Official Contact | 7182984375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Care Of Michigan Llc 27 Randolph Rd Howell NJ 07731-8611 Ph: (718) 298-2753 | Supportive Care Of Michigan Llc 330 Lincoln Ave Iron River MI 49935-8452 Ph: (718) 298-2753 |
| NPI Number | 1659030591 |
|---|---|
| Provider Enumeration Date | 12/08/2021 |
| Last Update Date | 12/08/2021 |
| Certification Date | 12/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659030591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Iron County Samaritan Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 W Genesee St, Suite 9, Iron River, MI 49935 Phone: 906-265-2000 | |
Supportive Care I Of Michigan Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 330 Lincoln Ave, Iron River, MI 49935 Phone: 718-506-1115 |