National Provider Identifier Database

SUPPORTIVE CARE OF WYOMING LLC
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

SUPPORTIVE CARE OF WYOMING LLC
2700 E 12TH ST
CHEYENNE, WY82001-5604
Phone: 718-506-1115
Fax:
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Clinical 1041C0700X
Nurse Practitioner 363L00000X

* Indicates primary specialty

NPI Profile & details for SUPPORTIVE CARE OF WYOMING LLC

NPI Number 1578413167
Legal business name
LBN
SUPPORTIVE CARE OF WYOMING LLC
Authorized official RAPHAEL LICHTSCHEIN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/02/2026
Last updated 02/02/2026 - About 4 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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