Provider Demographics
NPI:1427032713
Name:RATLIFF, STEPHEN MONROE (LPC, CSAC)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:MONROE
Last Name:RATLIFF
Suffix:
Gender:M
Credentials:LPC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4045 POSTAL DR
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-6439
Mailing Address - Country:US
Mailing Address - Phone:540-776-1075
Mailing Address - Fax:540-776-0488
Practice Address - Street 1:4045 POSTAL DR
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-6439
Practice Address - Country:US
Practice Address - Phone:540-776-1075
Practice Address - Fax:540-776-0488
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710000593101YA0400X
VA0701003546101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA086807MOtherSENTARA
VA139545OtherANTHEM BC/BS
VA2108668OtherUNITED HEALTHCARE
VA598861-00OtherMAGELLAN
VA7593535OtherAETNA