Healthcare Provider Details

I. General information

NPI: 1104265693
Provider Name (Legal Business Name): MS. SARAH ANN BELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2013
Last Update Date: 06/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2725 E SKELLY DR SUITE 202
TULSA OK
74105-6241
US

IV. Provider business mailing address

7880 E 126TH ST S APT 431
BIXBY OK
74008-2443
US

V. Phone/Fax

Practice location:
  • Phone: 918-382-7300
  • Fax: 918-382-7302
Mailing address:
  • Phone: 918-809-5781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: