Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tri-State Healing Initiative LLC

Organization Family Medicine Physician · NPI 1841984036

Tri-State Healing Initiative LLC is a Family Medicine Physician in Russell, Kentucky. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1619 Diederich Blvd Ste D1
Russell, KY 41169-1778
Phone: (952) 261-7105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1841984036
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryce Ratliff — Owner · (952) 261-7105
NPI enumeratedJune 8, 2023
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address17 Lackawanna Pl Apt 318, Bloomfield, NJ 07003-2954

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