Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Licensed Support Corp

Organization Community/Behavioral Health Agency · NPI 1336839711

Licensed Support Corp is a Community/Behavioral Health Agency in Manchester, New Hampshire. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

283 Scenic Dr
Manchester, NH 03103
Phone: (845) 596-2271
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1336839711
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yocheved Wasserman — President · (845) 596-2271
NPI enumeratedMay 10, 2023
Last updated in NPPESMay 10, 2023
Certification dateApril 27, 2023
Mailing address283 Scenic Drive, Manchester, NH 03103

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