Basic Information
| Provider Information | |||||||||
| NPI: | 1306030275 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ENGLAND | ||||||||
| FirstName: | SHEILAH | ||||||||
| MiddleName: | ANNETTE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4300 S. HARVARD AVE. | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | TULSA | ||||||||
| State: | OK | ||||||||
| PostalCode: | 741352608 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9185853163 | ||||||||
| FaxNumber: | 9185841835 | ||||||||
| Practice Location | |||||||||
| Address1: | 4300 S. HARVARD AVE. | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | TULSA | ||||||||
| State: | OK | ||||||||
| PostalCode: | 741352608 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9185853163 | ||||||||
| FaxNumber: | 9185841835 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/04/2007 | ||||||||
| LastUpdateDate: | 12/09/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | Y | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No ID Information.