Provider Demographics
NPI:1053177949
Name:FERST, SOPHIA RUAH (SWLC)
Entity type:Individual
Prefix:
First Name:SOPHIA
Middle Name:RUAH
Last Name:FERST
Suffix:
Gender:F
Credentials:SWLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1904 LESLIE AVE
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-1931
Mailing Address - Country:US
Mailing Address - Phone:406-437-1395
Mailing Address - Fax:
Practice Address - Street 1:1904 LESLIE AVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-1931
Practice Address - Country:US
Practice Address - Phone:406-437-1395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical