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

Supportive Care of Wyoming LLC

Organization Clinical Psychologist · NPI 1578413167

Supportive Care of Wyoming LLC is a Clinical Psychologist in Cheyenne, Wyoming. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3
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

2700 E 12th St
Cheyenne, WY 82001-5604
Phone: (718) 506-1115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X
Clinical Social Worker Taxonomy 1041C0700X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1578413167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raphael Lichtschein — President · (718) 298-4375
NPI enumeratedFebruary 2, 2026
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026
Mailing address27 Randolph Rd, Howell, NJ 07731-8611

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