Healthcare Provider Details

I. General information

NPI: 1669500088
Provider Name (Legal Business Name): JAMES BRYAN HIEL LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 N BROAD ST
GUTHRIE OK
73044-3367
US

IV. Provider business mailing address

PO BOX 12978
OKLAHOMA CITY OK
73157-2978
US

V. Phone/Fax

Practice location:
  • Phone: 405-858-1750
  • Fax:
Mailing address:
  • Phone: 405-858-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2579
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2579
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: