Provider Demographics
NPI:1285256222
Name:JONES, ROBIN RATLIFF
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:RATLIFF
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6801 LUCY BLVD., PO BOX 92, CHESTERFIELD MENTAL HEALTH
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832
Mailing Address - Country:US
Mailing Address - Phone:804-748-1227
Mailing Address - Fax:804-768-9205
Practice Address - Street 1:6801 LUCY BLVD., 92, CHESTERFIELD MENTAL HEALTH
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832
Practice Address - Country:US
Practice Address - Phone:804-748-1227
Practice Address - Fax:804-768-9205
Is Sole Proprietor?:No
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003650101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor