Healthcare Provider Details

I. General information

NPI: 1659283620
Provider Name (Legal Business Name): EVOLVE COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7914 E 106TH ST STE 202
TULSA OK
74133-6802
US

IV. Provider business mailing address

7914 E 106TH ST STE 202
TULSA OK
74133-6802
US

V. Phone/Fax

Practice location:
  • Phone: 619-665-9918
  • Fax:
Mailing address:
  • Phone: 619-665-9918
  • 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: MS. VICTORIA AVIV
Title or Position: OWNER
Credential: LPC, RPT
Phone: 619-665-9918