Healthcare Provider Details

I. General information

NPI: 1326286436
Provider Name (Legal Business Name): LETOYA J. MCCLAY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2009
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 JACKSON AVE W APT 174
OXFORD MS
38655-4266
US

IV. Provider business mailing address

1802 JACKSON AVE W APT 174
OXFORD MS
38655-4266
US

V. Phone/Fax

Practice location:
  • Phone: 662-469-6348
  • Fax:
Mailing address:
  • Phone: 662-469-6348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1702
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: