LARRY G PROVENCE M.A., L.P.C.
NPI 1801078027
Counselor - Professional in Prescott Valley, AZ

Q: What is Larry Provence's NPI number?

The NPI number for Larry Provence is 1801078027. It was assigned to this individual provider in the NPPES registry on November 29, 2007.

Q: What is Larry Provence's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Larry Provence was last updated on November 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 29, 2007

4715 N STAGE WAY LN, PRESCOTT VALLEY, AZ 86314(928) 775-0019 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Larry G Provence M.a., L.p.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY G PROVENCE M.A., L.P.C. (NPI 1801078027) is an individual professional provider in Prescott Valley, Arizona, licensed in Arizona (LPC11598) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1801078027

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameLARRY G PROVENCECredential: M.A., L.P.C.

Location Address4715 N STAGE WAY LNPrescott Valley, AZ 86314-5325

Mailing Address4715 N Stage Way LnPrescott Valley, AZ 86314-5325 · (928) 775-0019

Phone(928) 775-0019

Sole ProprietorYes

Enumeration DateNovember 29, 2007

✔ NPI 1801078027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in AZ · LPC11598

4715 N STAGE WAY LN, Prescott Valley, AZ 86314

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Provence's NPI number?

The NPI number for Larry Provence is 1801078027. It was assigned to this individual provider in the NPPES registry on November 29, 2007.

Where is Larry Provence located?

Larry Provence practices at 4715 N Stage Way Ln, Prescott Valley, AZ 86314. The listed phone number is (928) 775-0019.

What is Larry Provence's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Larry Provence was last updated on November 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.