Provider Demographics
NPI:1578936993
Name:GARCIA, SHEENA RAQUEL
Entity Type:Individual
Prefix:
First Name:SHEENA
Middle Name:RAQUEL
Last Name:GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 S GARNETT RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74128-1836
Mailing Address - Country:US
Mailing Address - Phone:918-878-7877
Mailing Address - Fax:
Practice Address - Street 1:12526 E 84TH ST N
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-2141
Practice Address - Country:US
Practice Address - Phone:918-740-9523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-06
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker