Provider Demographics
NPI:1699068668
Name:ALLEN, SARAH L (BHRS)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:L
Last Name:ALLEN
Suffix:
Gender:F
Credentials:BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13600 S 285TH EAST AVE
Mailing Address - Street 2:
Mailing Address - City:COWETA
Mailing Address - State:OK
Mailing Address - Zip Code:74429-7015
Mailing Address - Country:US
Mailing Address - Phone:918-645-4872
Mailing Address - Fax:
Practice Address - Street 1:5929 S ROANOKE AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65810-3226
Practice Address - Country:US
Practice Address - Phone:918-417-0104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-24
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker