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NPI Code Detail

MEDICARE: BLJ COUNSELING AND CONSULTING PC

MEDICARE: BLJ COUNSELING AND CONSULTING PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer Specialist
2251B00000XCase Management Agency
3101YA0400XAddiction (Substance Use Disorder) Counselor
41041C0700XClinical Social Worker
5171400000XHealth & Wellness Coach
6101YP2500XProfessional Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679499545
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLJ COUNSELING AND CONSULTING PC
Provider Business Mailing Address
First Line : 2508 E 71ST ST STE C
Second Line :
City : TULSA
State : OK
Zip : 74136-5572
Country : US
Telephone Number : 918-794-6570
Fax Number : 918-340-5189
Provider Business Practice Location Address
First Line : 2508 E 71ST ST STE C
Second Line :
City : TULSA
State : OK
Zip : 74136-5572
Country : US
Telephone Number : 918-794-6570
Fax Number : 918-340-5189
Authorized Official
Title or Position : LPC-S, LADC
Name : MS. LATIA RIKAYLE PARKER
Credential :
Telephone Number : 918-794-6570
Provider Enumeration Date : 06/25/2026
Last Update Date : 06/25/2026

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Directions to “BLJ COUNSELING AND CONSULTING PC ” Practice Location

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