Healthcare Provider Details

I. General information

NPI: 1912199639
Provider Name (Legal Business Name): SARAH CATHLEEN HURD MSSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH CATHLEEN KEISER LCSW

II. Dates (important events)

Enumeration Date: 08/16/2007
Last Update Date: 12/29/2023
Certification Date: 12/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

REYNOLDS ARMY HEALTH CLINIC 4301 WILSON ST
FT SILL OK
73503
US

IV. Provider business mailing address

4301 WILSON ST
FORT SILL OK
73503-4472
US

V. Phone/Fax

Practice location:
  • Phone: 580-442-3084
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: