Active NPI
Conscious Healing Therapies, LLC
- Clinical Social Worker
- Tupelo, MS
National Provider Identifier
1174852677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C5772
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05281357 | Medicaid | MS |
Other names 1
- Melissa Ratliff, LCSW
National Provider Directory
National Provider DirectoryLocations
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.