Provider Demographics
NPI:1255769824
Name:RUTH-FARRIS, SARA R (LMFT)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:R
Last Name:RUTH-FARRIS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:R
Other - Last Name:RUTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1312 HALE MCGINTY DR
Mailing Address - Street 2:
Mailing Address - City:NEOSHO
Mailing Address - State:MO
Mailing Address - Zip Code:64850-6179
Mailing Address - Country:US
Mailing Address - Phone:417-439-1559
Mailing Address - Fax:
Practice Address - Street 1:530 S MAIDEN LN
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64801-3084
Practice Address - Country:US
Practice Address - Phone:417-782-6200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-17
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist