Healthcare Provider Details

I. General information

NPI: 1164344115
Provider Name (Legal Business Name): LIFE'S SEASONING COUNSELING SERVICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4815 S HARVARD AVE STE 275
TULSA OK
74135-3052
US

IV. Provider business mailing address

4815 S HARVARD AVE STE 275
TULSA OK
74135-3052
US

V. Phone/Fax

Practice location:
  • Phone: 918-973-3841
  • Fax: 918-308-5766
Mailing address:
  • Phone: 918-973-3841
  • Fax: 918-308-5766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CLESHAWN DUBOSE
Title or Position: CEO/THERAPIST
Credential: LPC-S
Phone: 918-973-3841