Provider Demographics
NPI:1750092672
Name:RATLIFF, YOLANDA L (MS, MA, LPC)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:L
Last Name:RATLIFF
Suffix:
Gender:F
Credentials:MS, MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6501 OLD PLANK BLVD
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-2937
Mailing Address - Country:US
Mailing Address - Phone:708-522-6153
Mailing Address - Fax:
Practice Address - Street 1:19900 GOVERNORS DR STE 300D
Practice Address - Street 2:
Practice Address - City:OLYMPIA FIELDS
Practice Address - State:IL
Practice Address - Zip Code:60461-1059
Practice Address - Country:US
Practice Address - Phone:708-855-0783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.018654101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional