Healthcare Provider Details

I. General information

NPI: 1992044192
Provider Name (Legal Business Name): SARAH JEFCOAT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2013
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 US HIGHWAY 90 STE 103
DAPHNE AL
36526-9510
US

IV. Provider business mailing address

90 N 31ST ST
CLINTON OK
73601-9116
US

V. Phone/Fax

Practice location:
  • Phone: 256-701-5651
  • Fax:
Mailing address:
  • Phone: 580-323-6021
  • Fax: 580-323-0828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: