Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Larry G Provence, MA, LPC

Individual provider Professional Counselor · NPI 1801078027

Larry G Provence, MA, LPC is a Professional Counselor in Prescott Valley, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

4715 N Stage Way Ln
Prescott Valley, AZ 86314-5325
Phone: (928) 775-0019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC11598 (AZ)

Record details

NPI number1801078027
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LPC
Sole proprietorYes
NPI enumeratedNovember 29, 2007
Last updated in NPPESNovember 29, 2007

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