Provider Demographics
NPI:1508596461
Name:RATLIFF, KAROLYN MARIA (LPC)
Entity Type:Individual
Prefix:
First Name:KAROLYN
Middle Name:MARIA
Last Name:RATLIFF
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KAROLYN
Other - Middle Name:MARIA
Other - Last Name:BOCHMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:11166 TESSON FERRY RD STE 300
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63123-6966
Mailing Address - Country:US
Mailing Address - Phone:314-802-2647
Mailing Address - Fax:314-842-2552
Practice Address - Street 1:11166 TESSON FERRY RD STE 300
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63123-6966
Practice Address - Country:US
Practice Address - Phone:314-802-2647
Practice Address - Fax:314-842-2552
Is Sole Proprietor?:No
Enumeration Date:2022-06-14
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020013539101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional