Provider Demographics
NPI:1265226476
Name:COBURN, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:COBURN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:COBURN-ROTHERMEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LMFT
Mailing Address - Street 1:5802 S DELAWARE PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-7438
Mailing Address - Country:US
Mailing Address - Phone:918-899-9415
Mailing Address - Fax:
Practice Address - Street 1:6846 S CANTON AVE STE 520U
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-3417
Practice Address - Country:US
Practice Address - Phone:918-899-9415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK11206106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist