Healthcare Provider Details

I. General information

NPI: 1598683427
Provider Name (Legal Business Name): SLATE CREEK COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 W 119TH ST S
JENKS OK
74037-3357
US

IV. Provider business mailing address

313 W 119TH ST S
JENKS OK
74037-3357
US

V. Phone/Fax

Practice location:
  • Phone: 918-698-6186
  • Fax:
Mailing address:
  • Phone: 918-698-6186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. EDEN EVANGELINE TRENTHAM
Title or Position: THERAPIST/OWNER
Credential: LPC
Phone: 918-698-6186