TONY DEON GILLON JR. M.ED., LPC
NPI 1891448981
Counselor - Professional in Saint Louis, MO
Active since January 31, 2022
About Tony Deon Gillon Jr. M.ed., Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TONY DEON GILLON JR. M.ED., LPC (NPI 1891448981) is an individual professional provider in Saint Louis, Missouri, licensed in Missouri (2018040871) and active in the NPI registry since January 2022.
NPPES Registry Identity
NPI1891448981
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTONY DEON GILLON JR.Credential: M.ED., LPC
Location Address5319 SHAW AVESaint Louis, MO 63110-3023
Mailing Address5319 Shaw AveSaint Louis, MO 63110-3023 · (314) 378-3433
Phone(314) 378-3433
Sole ProprietorYes
Enumeration DateJanuary 31, 2022
NPPES CertifiedJanuary 29, 2022
✔ NPI 1891448981 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 3
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2018040871
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2018040871 (MO)
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 2018040871 (MO)
5319 SHAW AVE, Saint Louis, MO 63110
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, UnitedHealthcare.Insurance ›
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891448981, enumerated as an "individual" on January 31, 2022.
The provider is located at 5319 SHAW AVE SAINT LOUIS, MO 63110 and the phone number is (314) 378-3433.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Medica, Oscar Insurance Company and. Please consult your insurance carrier or call the provider to verify.
