Provider Demographics
NPI:1316520117
Name:SARGENT, SHEILA A (BHCMII)
Entity type:Individual
Prefix:MISS
First Name:SHEILA
Middle Name:A
Last Name:SARGENT
Suffix:
Gender:
Credentials:BHCMII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3033 N WALNUT AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73105-2832
Mailing Address - Country:US
Mailing Address - Phone:405-230-1154
Mailing Address - Fax:405-552-2611
Practice Address - Street 1:1501 NE 11TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73117-2605
Practice Address - Country:US
Practice Address - Phone:405-412-8597
Practice Address - Fax:405-425-4336
Is Sole Proprietor?:No
Enumeration Date:2021-04-30
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK175T00000X
OK315222171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No175T00000XOther Service ProvidersPeer Specialist