Provider Demographics
NPI:1881141158
Name:RADLIFF, JOSHUA (LMHC-D)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:RADLIFF
Suffix:
Gender:M
Credentials:LMHC-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 66447
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12206-6447
Mailing Address - Country:US
Mailing Address - Phone:518-545-4896
Mailing Address - Fax:
Practice Address - Street 1:756 MADISON AVE STE 203
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3823
Practice Address - Country:US
Practice Address - Phone:518-545-4896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-05
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007396101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health