Organization
T S LIVINGSTON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA S LIVINGSTON LCSW (PRESIDENT)
(630) 664-2129
Entity
Organization
Contact information
Practice address
359 WILDWOOD DR, NORTH AURORA, IL 60542-3018
(630) 664-2129
Mailing address
359 WILDWOOD DR, NORTH AURORA, IL 60542-3018
(630) 664-2129
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
IL
252Y00000X
Early Intervention Provider Agency
TL36930602P
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232316
BLUE CROSS BLUE SHIELD
IL
01
—
TL36930602P
EARLY INTERVENTION
—
Enumeration date
04/08/2008
Last updated
04/08/2008
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