| Tri-state Healing Initiative Llc | |
|
1619 Diederich Blvd Ste D1 Russell KY 41169-1778 | |
| (952) 261-7105 | |
| Not Available |
| Full Name | Tri-state Healing Initiative Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1619 Diederich Blvd Ste D1, Russell, Kentucky |
| Authorized Official Name and Position | Bryce Ratliff (OWNER) |
| Authorized Official Contact | 9522617105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-state Healing Initiative Llc 17 Lackawanna Pl Apt 318 Bloomfield NJ 07003-2954 Ph: () - | Tri-state Healing Initiative Llc 1619 Diederich Blvd Ste D1 Russell KY 41169-1778 Ph: (952) 261-7105 |
| NPI Number | 1841984036 |
|---|---|
| Provider Enumeration Date | 06/08/2023 |
| Last Update Date | 06/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841984036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Harmony Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1619 Diederich Blvd, Russell, KY 41169 Phone: 606-324-0334 | |
Supportive Med Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1619 Diederich Blvd Ste B, Russell, KY 41169 Phone: 606-324-0334 | |
Angela D Lewis Do Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1021 Kenwood Dr, Russell, KY 41169 Phone: 606-836-1954 Fax: 606-836-3878 |