MEDICARE: VALIANT 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	:	1811844434
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALIANT COUNSELING AND CONSULTING, LLC

Provider Business Mailing Address
First Line	:	8316 E 73RD ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-2914
Country	:	US
Telephone Number	:	918-378-7078
Fax Number	:	877-681-7886

Provider Business Practice Location Address
First Line	:	8316 E 73RD ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-2914
Country	:	US
Telephone Number	:	918-378-7078
Fax Number	:	877-681-7886

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	CHRIS FOURCADE
Credential	:
Telephone Number	:	405-329-7300

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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