Healthcare Provider Details

I. General information

NPI: 1679499545
Provider Name (Legal Business Name): BLJ COUNSELING AND CONSULTING PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2508 E 71ST ST STE C
TULSA OK
74136-5572
US

IV. Provider business mailing address

2508 E 71ST ST STE C
TULSA OK
74136-5572
US

V. Phone/Fax

Practice location:
  • Phone: 918-794-6570
  • Fax: 918-340-5189
Mailing address:
  • Phone: 918-794-6570
  • Fax: 918-340-5189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. LATIA RIKAYLE PARKER
Title or Position: LPC-S, LADC
Credential:
Phone: 918-794-6570