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

Supportive Care of Georgia LLC

Organization Clinical Psychologist · NPI 1891362877

Supportive Care of Georgia LLC is a Clinical Psychologist in Roswell, Georgia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

300 Colonial Center Pkwy Ste 100N
Roswell, GA 30076-4892
Phone: (718) 298-4375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1891362877
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raphael Lichtschein — President · (718) 298-4375
NPI enumeratedJune 8, 2021
Last updated in NPPESJune 8, 2021
Certification dateJune 8, 2021
Mailing address27 Randolph Rd, Howell, NJ 07731-8611

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