Organization Active NPI

Conscious Healing Therapies, LLC

  • Clinical Social Worker
  • Tupelo, MS
National Provider Identifier
1174852677
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C5772 Issued in MS
Legal business name
CONSCIOUS HEALING THERAPIES, LLC
Practice address
302 S Spring St
Tupelo, MS 38804-4853
Phone
(662) 841-8020
Fax
(662) 841-8021
NPI assigned
Dec 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Melissa Ratliff, LCSW
Title
Owner / Therapist
Phone
(662) 841-8020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C5772 MS Primary

Addresses

Primary practice location

302 S Spring St
Tupelo, MS 38804-4853

Mailing address

302 S Spring St
Tupelo, MS 38804-4853
Phone (662) 841-8020

Other identifiers 1

IdentifierTypeStateIssuer
05281357MedicaidMS

Other names 1

  • Melissa Ratliff, LCSW Other name

National Provider Directory

National Provider Directory

Locations

201 Magazine St
Tupelo, MS 38804
Phone (662) 841-8020

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1174852677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S SPRING ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388044853",
            "telephone_number": "662-841-8020",
            "fax_number": "662-841-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S SPRING ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388044853",
            "telephone_number": "662-841-8020",
            "fax_number": "662-841-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSCIOUS HEALING THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "RATLIFF",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER / THERAPIST",
        "authorized_official_telephone_number": "662-841-8020",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C5772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05281357",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melissa Ratliff, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.