Provider Demographics
NPI:1255603783
Name:HUBBARD, SARAH E (MA, CM II)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:MA, CM II
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:E
Other - Last Name:REAMY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CM II
Mailing Address - Street 1:1055 S HOUSTON AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74127-9043
Mailing Address - Country:US
Mailing Address - Phone:918-921-3200
Mailing Address - Fax:
Practice Address - Street 1:650 S PEORIA AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74120-4429
Practice Address - Country:US
Practice Address - Phone:918-587-9471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-30
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health