Provider Demographics
NPI:1093693269
Name:GONZALEZ-MADRID, SARAH DIANE (LMFT-C)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:DIANE
Last Name:GONZALEZ-MADRID
Suffix:
Gender:F
Credentials:LMFT-C
Other - Prefix:
Other - First Name:DIANE
Other - Middle Name:
Other - Last Name:MADRID
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT-C
Mailing Address - Street 1:1611 HAWTHORNE CT
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-6720
Mailing Address - Country:US
Mailing Address - Phone:405-740-4610
Mailing Address - Fax:
Practice Address - Street 1:2212 WESTPARK DR
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-4097
Practice Address - Country:US
Practice Address - Phone:405-857-7624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKLMFT-C106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist