Healthcare Provider Details

I. General information

NPI: 1366354839
Provider Name (Legal Business Name): CLEAR HORIZON COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 E 19TH ST STE 112
OWASSO OK
74055-4617
US

IV. Provider business mailing address

17600 E SUNSET RDG
OWASSO OK
74055-7673
US

V. Phone/Fax

Practice location:
  • Phone: 918-519-1439
  • Fax:
Mailing address:
  • Phone: 918-519-1439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. ANNA BETINA LITTLE
Title or Position: OWNER
Credential: LPC
Phone: 918-519-1439