Provider Demographics
NPI:1639588312
Name:HOWELL, SHARLA JANELL
Entity Type:Individual
Prefix:MS
First Name:SHARLA
Middle Name:JANELL
Last Name:HOWELL
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 1:11908 NW 136TH CIR
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:OK
Mailing Address - Zip Code:73078-9175
Mailing Address - Country:US
Mailing Address - Phone:405-990-1535
Mailing Address - Fax:
Practice Address - Street 1:11908 NW 136TH CIR
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:OK
Practice Address - Zip Code:73078-9175
Practice Address - Country:US
Practice Address - Phone:405-990-1535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-07
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200549260AMedicaid