Provider Demographics
NPI:1942012257
Name:GILL, JOSEPH JR (LPC-A)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:GILL
Suffix:JR
Gender:M
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1413 ROUNDWASH WAY
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-2875
Mailing Address - Country:US
Mailing Address - Phone:214-912-1877
Mailing Address - Fax:
Practice Address - Street 1:1413 ROUNDWASH WAY
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-2875
Practice Address - Country:US
Practice Address - Phone:214-912-1877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX97529101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health