Provider Demographics
NPI:1003476136
Name:PAMELA FORD COUNSELING LIMITED
Entity Type:Organization
Organization Name:PAMELA FORD COUNSELING LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:A
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC CADC
Authorized Official - Phone:708-372-6443
Mailing Address - Street 1:750 ALMAR PKWY STE 205
Mailing Address - Street 2:
Mailing Address - City:BOURBONNAIS
Mailing Address - State:IL
Mailing Address - Zip Code:60914-2399
Mailing Address - Country:US
Mailing Address - Phone:708-372-6443
Mailing Address - Fax:844-272-6180
Practice Address - Street 1:750 ALMAR PKWY STE 205
Practice Address - Street 2:
Practice Address - City:BOURBONNAIS
Practice Address - State:IL
Practice Address - Zip Code:60914-2399
Practice Address - Country:US
Practice Address - Phone:708-372-6443
Practice Address - Fax:844-272-6180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-20
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty