Provider Demographics
NPI:1093331258
Name:HARBERT, SHEILA RENEE (THERAPIST I, LMSW-P)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:RENEE
Last Name:HARBERT
Suffix:
Gender:F
Credentials:THERAPIST I, LMSW-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11317 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74128-2006
Mailing Address - Country:US
Mailing Address - Phone:918-946-6697
Mailing Address - Fax:
Practice Address - Street 1:808 S PEORIA AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74120-4427
Practice Address - Country:US
Practice Address - Phone:918-560-1325
Practice Address - Fax:918-712-9064
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-23
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
20283-P104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker