Healthcare Provider Details

I. General information

NPI: 1205742665
Provider Name (Legal Business Name): SARA E HATCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1245 S UTICA AVE STE 200
TULSA OK
74104-4214
US

IV. Provider business mailing address

1245 S UTICA AVE STE 200
TULSA OK
74104-4214
US

V. Phone/Fax

Practice location:
  • Phone: 918-579-3850
  • Fax: 918-579-3891
Mailing address:
  • Phone: 918-579-3850
  • Fax: 918-579-3891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number27366
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number22250
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: