Provider Demographics
NPI:1396624656
Name:TOBIAS, DARRION JOHNNELL (LPC)
Entity type:Individual
Prefix:
First Name:DARRION
Middle Name:JOHNNELL
Last Name:TOBIAS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2212 CHERRY BLOSSOM DR
Mailing Address - Street 2:
Mailing Address - City:DARDENNE PRAIRIE
Mailing Address - State:MO
Mailing Address - Zip Code:63368-6304
Mailing Address - Country:US
Mailing Address - Phone:314-498-7538
Mailing Address - Fax:
Practice Address - Street 1:1015 PAUL ALAN DR
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:MO
Practice Address - Zip Code:63084-2130
Practice Address - Country:US
Practice Address - Phone:833-356-2427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-30
Last Update Date:2025-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025036860101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional