MEDICARE: SARA L. DAVES L.P.C. & L.M.F.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	285	OK
2	101YP2500X	Professional Counselor	115	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	731312559 02	OTHER	OK	HEALTHCHOICE PROVIDER

General Provider Information

NPI Number	:	1396874186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA L. DAVES L.P.C. & L.M.F.T.

Provider Business Mailing Address
First Line	:	1818 W LINDSEY ST
Second Line	:	SUITE C-120
City	:	NORMAN
State	:	OK
Zip	:	73069-4159
Country	:	US
Telephone Number	:	405-366-8828
Fax Number	:	405-325-1478

Provider Business Practice Location Address
First Line	:	1818 W LINDSEY ST
Second Line	:	SUITE C-120
City	:	NORMAN
State	:	OK
Zip	:	73069-4159
Country	:	US
Telephone Number	:	405-366-8828
Fax Number	:	405-325-1478

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	09/11/2025

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