Organization
T. C. FORD CONSULTING, LLC
Active
Other names
The Way Out Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYRONE D FORD LCSW (OWNER/MANAGING MEMBER)
(314) 718-4503
Entity
Organization
Contact information
Practice address
10850 LINCOLN TRL # 20-1861, FAIRVIEW HEIGHTS, IL 62208-0339
(314) 718-4503
(618) 416-2708
Mailing address
10850 LINCOLN TRL # 20-1861, FAIRVIEW HEIGHTS, IL 62208-0339
(314) 718-4503
(618) 416-2708
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149.018180
IL DEPT. OF FINANCIAL AND PROFESSIONAL REGULATION
IL
01
—
2016002322
MO DEPT . OF PROFESSIONAL REGISTRATION
MO
Enumeration date
09/23/2021
Last updated
12/09/2024
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