Healthcare Provider Details

I. General information

NPI: 1598434656
Provider Name (Legal Business Name): RAPHA HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2021
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 MAPLE ST STE 205
SPRINGFIELD MA
01103-2211
US

IV. Provider business mailing address

120 MAPLE ST STE 205
SPRINGFIELD MA
01103-2211
US

V. Phone/Fax

Practice location:
  • Phone: 413-579-8808
  • Fax: 754-799-2825
Mailing address:
  • Phone: 413-579-8808
  • Fax: 754-799-2825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. CHARMAINE B WEBLEY
Title or Position: DNP, FNP-C, PMHNP-BC CEO
Credential: NURSE PRACTITIONER
Phone: 413-579-8088