=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366786766
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RATLIFF CONSULTANTS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/26/2012
-----------------------------------------------------
Last Update Date | 08/15/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8323 SOUTHWEST FWY SUITE 565
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77074-1615
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-971-2223
-----------------------------------------------------
Fax | 281-978-4946
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8323 SOUTHWEST FREEWAY SUITE 565
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77074-1633
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-971-2223
-----------------------------------------------------
Fax | 281-978-4946
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/POVIDER
-----------------------------------------------------
Name | DR. CANDY H RATLIFF
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 281-971-2223
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 207QA0000X
-----------------------------------------------------
Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
Taxonomy Code | 207QA0505X
-----------------------------------------------------
Taxonomy Name | Adult Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------