Healthcare Provider Details

I. General information

NPI: 1922075159
Provider Name (Legal Business Name): JAMES O HALE MS, LPC, LADC-MH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 03/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3035 NW 63RD ST SUITE 200
OKLAHOMA CITY OK
73116-3632
US

IV. Provider business mailing address

PO BOX 57366
OKLAHOMA CITY OK
73157-7366
US

V. Phone/Fax

Practice location:
  • Phone: 405-816-7735
  • Fax: 405-286-1380
Mailing address:
  • Phone: 405-816-7735
  • Fax: 405-286-1380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number56
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2262
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: