Provider Demographics
NPI:1811638158
Name:RATLEDGE, JOSEPH L
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:L
Last Name:RATLEDGE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2910 KENSINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:TN
Mailing Address - Zip Code:37303-5022
Mailing Address - Country:US
Mailing Address - Phone:336-682-5896
Mailing Address - Fax:
Practice Address - Street 1:2910 KENSINGTON ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TN
Practice Address - Zip Code:37303-5022
Practice Address - Country:US
Practice Address - Phone:423-436-9642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-01
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral