| T. C. Ford Consulting, Llc | |
|
2608 Greystone Estates Pkwy Belleville IL 62221-3513 | |
| (618) 978-7343 | |
| (618) 416-2708 |
| Full Name | T. C. Ford Consulting, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2608 Greystone Estates Pkwy, Belleville, Illinois |
| Authorized Official Name and Position | Tyrone D Ford (OWNER/MANAGING MEMBER) |
| Authorized Official Contact | 3147184503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T. C. Ford Consulting, Llc Po Box 1861 Fairview Heights IL 62208-0061 Ph: (314) 718-4503 | T. C. Ford Consulting, Llc 2608 Greystone Estates Pkwy Belleville IL 62221-3513 Ph: (618) 978-7343 |
| NPI Number | 1568133189 |
|---|---|
| Provider Enumeration Date | 09/23/2021 |
| Last Update Date | 03/08/2024 |
| Certification Date | 03/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568133189 | NPI | - | NPPES |
| 149.018180 | Other | IL | IL DEPT. OF FINANCIAL AND PROFESSIONAL REGULATION |
| 2016002322 | Other | MO | MO DEPT . OF PROFESSIONAL REGISTRATION |
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