Provider Demographics
NPI:1962936484
Name:PAULA RAFFONE, LMFT LLC
Entity type:Organization
Organization Name:PAULA RAFFONE, LMFT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAFFONE
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:203-214-9730
Mailing Address - Street 1:287 MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-2637
Mailing Address - Country:US
Mailing Address - Phone:203-214-9730
Mailing Address - Fax:203-439-2769
Practice Address - Street 1:15 S ELM ST
Practice Address - Street 2:3RD FLOOR UNIT 3
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-4741
Practice Address - Country:US
Practice Address - Phone:203-214-9730
Practice Address - Fax:203-439-2769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-12
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1878106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty