Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Supportive Care of Georgia LLC

Organization Clinical Psychologist · NPI 1891362877

Supportive Care of Georgia LLC provides Clinical Psychologist services 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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