Healthcare Provider Details

I. General information

NPI: 1881518181
Provider Name (Legal Business Name): PHAROS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2915 N CLASSEN BLVD STE 524
OKLAHOMA CITY OK
73106-5458
US

IV. Provider business mailing address

2105 NW 17TH ST
OKLAHOMA CITY OK
73107-4062
US

V. Phone/Fax

Practice location:
  • Phone: 405-817-6545
  • Fax:
Mailing address:
  • Phone: 512-466-5693
  • 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: MARY SABIN
Title or Position: OWNER
Credential: LPC
Phone: 512-466-5693