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General NPI Number Information
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NPI Number | 1548154891
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Entity Type | Organization
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Legal Business Name | CARROLL-RATLIFF COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 30 S VALLEY RD STE 207
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City | PAOLI
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State | PA
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Zip | 19301-1473
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Country | US
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Telephone | 484-886-4214
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Fax |
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Provider Business Mailing Address
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Address Line | 42 STONEHENGE LN
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City | MALVERN
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State | PA
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Zip | 19355-2856
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Country | US
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Telephone | 609-577-7448
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/FOUNDER
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Name | HATTIE CARROLL-RATLIFF
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Credential | ED.S
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Telephone | 484-886-4214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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