Provider Demographics
NPI:1740425511
Name:RENFRO, SARAH RUTH (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:RUTH
Last Name:RENFRO
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:RUTH
Other - Last Name:FRANCIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:103 W FRANK ST
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-7741
Mailing Address - Country:US
Mailing Address - Phone:817-296-3722
Mailing Address - Fax:
Practice Address - Street 1:711 STANTON L YOUNG BLVD
Practice Address - Street 2:SUITE 430A
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5023
Practice Address - Country:US
Practice Address - Phone:405-271-8001
Practice Address - Fax:405-271-5439
Is Sole Proprietor?:No
Enumeration Date:2008-12-09
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4657101YP2500X
TX62365101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional