Healthcare Provider Details

I. General information

NPI: 1366236853
Provider Name (Legal Business Name): JAMES STEPHEN HOYT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2025
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 GOUGLER AVE
KENT OH
44240-2401
US

IV. Provider business mailing address

4182 AMERICANA DR APT 303
CUYAHOGA FALLS OH
44224-4821
US

V. Phone/Fax

Practice location:
  • Phone: 330-673-1016
  • Fax:
Mailing address:
  • Phone: 330-606-6458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: