Healthcare Provider Details

I. General information

NPI: 1730522988
Provider Name (Legal Business Name): LATOYA SAVON JAMES MHR, LADC-MH, LPC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2013
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

816 W EVERGREEN ST
DURANT OK
74701-4752
US

IV. Provider business mailing address

816 W EVERGREEN ST
DURANT OK
74701-4752
US

V. Phone/Fax

Practice location:
  • Phone: 539-316-3351
  • Fax:
Mailing address:
  • Phone: 580-916-6184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1024
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5614
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: