Healthcare Provider Details

I. General information

NPI: 1831004225
Provider Name (Legal Business Name): PROVIDENCE COUNSELING AND CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4815 S HARVARD AVE STE 420
TULSA OK
74135-3068
US

IV. Provider business mailing address

4815 S HARVARD AVE STE 420
TULSA OK
74135-3068
US

V. Phone/Fax

Practice location:
  • Phone: 918-406-0756
  • Fax:
Mailing address:
  • Phone: 918-406-0756
  • 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: JAMES CORY GARNER
Title or Position: OWNER/THERAPIST
Credential: LPC-S
Phone: 918-724-1095