| Supportive Care Of Louisiana Llc | |
|
3867 Plaza Tower Dr Fl 1 Baton Rouge LA 70816-4378 | |
| (718) 298-4375 | |
| Not Available |
| Full Name | Supportive Care Of Louisiana Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3867 Plaza Tower Dr Fl 1, Baton Rouge, Louisiana |
| 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 Louisiana Llc 27 Randolph Rd Howell NJ 07731-8611 Ph: (718) 298-4372 | Supportive Care Of Louisiana Llc 3867 Plaza Tower Dr Fl 1 Baton Rouge LA 70816-4378 Ph: (718) 298-4375 |
| NPI Number | 1619611381 |
|---|---|
| Provider Enumeration Date | 04/27/2022 |
| Last Update Date | 04/27/2022 |
| Certification Date | 04/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619611381 | NPI | - | NPPES |
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