Provider Demographics
NPI:1548505209
Name:RAINES, SARAH DAWNE
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:DAWNE
Last Name:RAINES
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 1:444 S HOUSTON AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74127-8946
Mailing Address - Country:US
Mailing Address - Phone:918-770-5743
Mailing Address - Fax:
Practice Address - Street 1:444 S HOUSTON AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74127-8946
Practice Address - Country:US
Practice Address - Phone:918-770-5743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-06
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker