Healthcare Provider Details

I. General information

NPI: 1053243485
Provider Name (Legal Business Name): LAVI COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24575 S 4097 RD
CLAREMORE OK
74019-4412
US

IV. Provider business mailing address

24575 S 4097 RD
CLAREMORE OK
74019-4412
US

V. Phone/Fax

Practice location:
  • Phone: 918-991-9680
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: PIPER SHAW
Title or Position: OWNER
Credential: LPC
Phone: 918-991-9680