Provider Demographics
NPI:1730522988
Name:JAMES, LATOYA SAVON (MHR, LADC-MH)
Entity type:Individual
Prefix:MS
First Name:LATOYA
Middle Name:SAVON
Last Name:JAMES
Suffix:
Gender:F
Credentials:MHR, LADC-MH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 W SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:DURANT
Mailing Address - State:OK
Mailing Address - Zip Code:74701-4436
Mailing Address - Country:US
Mailing Address - Phone:580-230-8877
Mailing Address - Fax:
Practice Address - Street 1:1303 S LYNN LN
Practice Address - Street 2:
Practice Address - City:IDABEL
Practice Address - State:OK
Practice Address - Zip Code:74745-6845
Practice Address - Country:US
Practice Address - Phone:580-286-7025
Practice Address - Fax:580-286-7436
Is Sole Proprietor?:No
Enumeration Date:2013-04-08
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1024101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor