Search › Illinois › 1041C0700X
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, PcInferred 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