| Rapha Mind & Body, Llc | |
|
3 Armstrong Rd # 1102 Shelton CT 06484-4706 | |
| (516) 500-3119 | |
| Not Available |
| Full Name | Rapha Mind & Body, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3 Armstrong Rd # 1102, Shelton, Connecticut |
| Authorized Official Name and Position | Shante Antoinette Bassett (CEO) |
| Authorized Official Contact | 5165003119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rapha Mind & Body, Llc 22 Happy Hollow Cir Unit B Stratford CT 06614-8411 Ph: (917) 975-1822 | Rapha Mind & Body, Llc 3 Armstrong Rd # 1102 Shelton CT 06484-4706 Ph: (516) 500-3119 |
| NPI Number | 1760254916 |
|---|---|
| Provider Enumeration Date | 10/23/2023 |
| Last Update Date | 10/23/2023 |
| Certification Date | 10/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760254916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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