Provider Demographics
NPI:1326518408
Name:RATCLIFFE, KIM (LMFT)
Entity Type:Individual
Prefix:
First Name:KIM
Middle Name:
Last Name:RATCLIFFE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 PLANTATION CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-2501
Mailing Address - Country:US
Mailing Address - Phone:615-585-5525
Mailing Address - Fax:
Practice Address - Street 1:2505 21ST AVE S STE 302
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-5652
Practice Address - Country:US
Practice Address - Phone:615-585-5525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-30
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1245106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist