Provider Demographics
NPI:1609075795
Name:FARRISH, HELEN SANDRA (LMSW)
Entity type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:SANDRA
Last Name:FARRISH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12134 S BALSAM RD
Mailing Address - Street 2:
Mailing Address - City:DAFTER
Mailing Address - State:MI
Mailing Address - Zip Code:49724-9556
Mailing Address - Country:US
Mailing Address - Phone:906-630-1598
Mailing Address - Fax:
Practice Address - Street 1:605 E 7TH AVE
Practice Address - Street 2:
Practice Address - City:SAULT SAINTE MARIE
Practice Address - State:MI
Practice Address - Zip Code:49783-3111
Practice Address - Country:US
Practice Address - Phone:906-635-7270
Practice Address - Fax:906-635-7688
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010878531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical