Supportive Care of New Mexico LLC
NPI #1548110133 in Farmington, New Mexico
Provider Information
- NPI Number
- 1548110133
- Entity Type
- Organization
- Organization Name
- Supportive Care of New Mexico LLC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Feb 2, 2026
- Last Updated
- Feb 2, 2026
Practice Location
- Address
- 800 SAGUARO TRL
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87401-9632
- Phone
- (718) 506-1115
Authorized Official
- Name
- RAPHAEL LICHTSCHEIN
- Title
- PRESIDENT
- Phone
- (718) 298-4375
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Nurse Practitioner |
| Psychologist - Clinical — Clinical |
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