| Melissa Ratliff, Lcsw | |
|
302 S Spring St Tupelo MS 38804-4853 | |
| (662) 841-8020 | |
| (662) 841-8021 |
| Full Name | Melissa Ratliff, Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 302 S Spring St, Tupelo, Mississippi |
| Authorized Official Name and Position | Melissa Ratliff (OWNER / THERAPIST) |
| Authorized Official Contact | 6628418020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Ratliff, Lcsw 302 S Spring St Tupelo MS 38804-4853 Ph: (662) 841-8020 | Melissa Ratliff, Lcsw 302 S Spring St Tupelo MS 38804-4853 Ph: (662) 841-8020 |
| NPI Number | 1174852677 |
|---|---|
| Provider Enumeration Date | 12/11/2009 |
| Last Update Date | 08/13/2015 |
| Medicare PECOS PAC ID | 7810148699 |
|---|---|
| Medicare Enrollment ID | O20121105000507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174852677 | NPI | - | NPPES |
| 05281357 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C5772 (Mississippi) | Primary |
| Provider Name | Shanta Sneed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609062868 PECOS PAC ID: 5799074670 Enrollment ID: I20160516002356 |
| Provider Name | Ellen Marie Frison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346782497 PECOS PAC ID: 8729352505 Enrollment ID: I20170918000852 |
| Provider Name | Tanisha L Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649753161 PECOS PAC ID: 9032462437 Enrollment ID: I20181101001967 |
| Provider Name | Nivea Depriest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831482520 PECOS PAC ID: 8527301829 Enrollment ID: I20190529001609 |
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