Provider Demographics
NPI:1598655680
Name:RATCLIFF, SAVANNAH (MA)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:
Last Name:RATCLIFF
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:SAVANNAH
Other - Middle Name:
Other - Last Name:CHANNELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2945 LILY WAY
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-5959
Mailing Address - Country:US
Mailing Address - Phone:770-757-5561
Mailing Address - Fax:
Practice Address - Street 1:223 DUNBAR CAVE RD STE A
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-8831
Practice Address - Country:US
Practice Address - Phone:931-444-3219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5793101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health