Healthcare Provider Details

I. General information

NPI: 1841110251
Provider Name (Legal Business Name): WATKINS COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4870 S LEWIS AVE STE 190
TULSA OK
74105-5186
US

IV. Provider business mailing address

4870 S LEWIS AVE STE 190
TULSA OK
74105-5186
US

V. Phone/Fax

Practice location:
  • Phone: 918-625-0412
  • Fax:
Mailing address:
  • Phone: 918-625-0412
  • 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: JANICE BEATRICE WATKINS
Title or Position: CLINICAL DIRECTOR
Credential: EDD, LPC
Phone: 539-593-1782