Healthcare Provider Details

I. General information

NPI: 1548176753
Provider Name (Legal Business Name): PAMELA RATCLIFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6017 WASHINGTON AVE
OCEAN SPRINGS MS
39564-2648
US

IV. Provider business mailing address

890 MOTSIE RD APT 218
BILOXI MS
39532-9128
US

V. Phone/Fax

Practice location:
  • Phone: 228-707-4417
  • Fax: 228-678-7877
Mailing address:
  • Phone: 228-707-4417
  • Fax: 228-678-7877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: