Healthcare Provider Details

I. General information

NPI: 1942045430
Provider Name (Legal Business Name): JAMES ARTHUR REID JR. MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2024
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8925 STATE HIGHWAY 66
SAPULPA OK
74131
US

IV. Provider business mailing address

115 E 16TH ST APT 10
TULSA OK
74119-4446
US

V. Phone/Fax

Practice location:
  • Phone: 918-347-2003
  • Fax:
Mailing address:
  • Phone: 405-742-0666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: