Organization
RAPHA MIND & BODY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANTE ANTOINETTE BASSETT PSYD (CEO)
(516) 500-3119
Entity
Organization
Contact information
Practice address
3 ARMSTRONG RD # 1102, SHELTON, CT 06484-4706
(516) 500-3119
Mailing address
22 HAPPY HOLLOW CIR UNIT B, STRATFORD, CT 06614-8411
(917) 975-1822
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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