SearchIllinois1041C0700X

Tatiana Jones-Moore, LCSW

NPI 1013707819 · on the registry since 2025

Practice

Address
404 N Hershey Rd Ste C
Bloomington, IL 61704
Phone
(877) 381-6538
Fax
(309) 590-5990
Organisation at this address
Gateway Foundation, Inc
Gateway Foundation, Inc. - Bhc
Gateway Professional Services, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois