Healthcare Provider Details

I. General information

NPI: 1265652861
Provider Name (Legal Business Name): SARA LOWE MHR, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9319 E 81ST ST
TULSA OK
74133-8055
US

IV. Provider business mailing address

9319 E 81ST ST
TULSA OK
74133-8055
US

V. Phone/Fax

Practice location:
  • Phone: 918-704-2367
  • Fax:
Mailing address:
  • Phone: 918-704-2367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC04147
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4147
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: