MEDICARE: WALK BESIDE COUNSELING AND CONSULTING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1619745809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALK BESIDE COUNSELING AND CONSULTING LLC

Provider Business Mailing Address
First Line	:	8316 E 73RD ST STE 101
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-2914
Country	:	US
Telephone Number	:	918-200-9690
Fax Number	:

Provider Business Practice Location Address
First Line	:	8316 E 73RD ST STE 101
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-2914
Country	:	US
Telephone Number	:	918-200-9690
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PAIGE FERNOW TALLENT
Credential	:	LPCS
Telephone Number	:	918-864-1811

Provider Enumeration Date	:	12/18/2023
Last Update Date	:	06/01/2026

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Directions to “WALK BESIDE COUNSELING AND CONSULTING LLC ” Practice Location

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