Healthcare Provider Details

I. General information

NPI: 1386548790
Provider Name (Legal Business Name): OAK AND EMBER COUNSELING AND CONSULTING SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 ROCK RIDGE CIR
TEXARKANA AR
71854-8116
US

IV. Provider business mailing address

408 ROCK RIDGE CIR
TEXARKANA AR
71854-8116
US

V. Phone/Fax

Practice location:
  • Phone: 903-824-3743
  • Fax:
Mailing address:
  • Phone: 903-824-3743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. RANDY ERVIN THOMASON JR.
Title or Position: OWNER
Credential: LPC
Phone: 903-824-3743