Provider Demographics
NPI:1154435774
Name:SAWYER, MICHELLE RENE (MSW)
Entity type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:RENE
Last Name:SAWYER
Suffix:
Gender:
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 BOATHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-2426
Mailing Address - Country:US
Mailing Address - Phone:405-659-3595
Mailing Address - Fax:
Practice Address - Street 1:15508 HICKORY BEND LN
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-8945
Practice Address - Country:US
Practice Address - Phone:405-659-3595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor