Healthcare Provider Details

I. General information

NPI: 1093648461
Provider Name (Legal Business Name): BLUE TREE COUNSELING SERVICES LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6666 S SHERIDAN RD STE 230
TULSA OK
74133-1767
US

IV. Provider business mailing address

8834 S 90TH EAST AVE
TULSA OK
74133-4420
US

V. Phone/Fax

Practice location:
  • Phone: 918-800-8039
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: VIRGINIA MARIE CREEKMORE
Title or Position: OWNER
Credential: LPC
Phone: 918-526-1905