Provider Demographics
NPI:1598434656
Name:RAPHA HEALTH LLC
Entity Type:Organization
Organization Name:RAPHA HEALTH LLC
Other - Org Name:RAPHA HEALTH LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FNP/PMHNP CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARMAINE
Authorized Official - Middle Name:B
Authorized Official - Last Name:WEBLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTOR OF NURSING PR
Authorized Official - Phone:413-579-8088
Mailing Address - Street 1:57 BILTMORE ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01108-2613
Mailing Address - Country:US
Mailing Address - Phone:413-579-8808
Mailing Address - Fax:754-799-2825
Practice Address - Street 1:57 BILTMORE ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01108-2613
Practice Address - Country:US
Practice Address - Phone:413-579-8808
Practice Address - Fax:754-799-2825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-10
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty