Healthcare Provider Details

I. General information

NPI: 1801709126
Provider Name (Legal Business Name): BLUE STEM COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2528 WEYMOUTH WAY
NORMAN OK
73071-7278
US

IV. Provider business mailing address

2528 WEYMOUTH WAY
NORMAN OK
73071-7278
US

V. Phone/Fax

Practice location:
  • Phone: 405-219-0411
  • Fax:
Mailing address:
  • Phone: 405-219-0411
  • 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: JESSICA ANNE STEVENS
Title or Position: PART OWNER
Credential: LCSW
Phone: 405-219-0411