Healthcare Provider Details

I. General information

NPI: 1376462432
Provider Name (Legal Business Name): SARAH J SMITH COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6440 AVONDALE DR STE 205
NICHOLS HILLS OK
73116-6416
US

IV. Provider business mailing address

6440 AVONDALE DR STE 205
NICHOLS HILLS OK
73116-6416
US

V. Phone/Fax

Practice location:
  • Phone: 405-452-8500
  • Fax:
Mailing address:
  • Phone: 405-452-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SARAH J SMITH
Title or Position: OWNER
Credential: LPC
Phone: 405-452-8500