Provider Demographics
NPI:1417651555
Name:SFARMS, LLC
Entity Type:Organization
Organization Name:SFARMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEANE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:ST. PETER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-947-6043
Mailing Address - Street 1:34612 PROMISE LN
Mailing Address - Street 2:
Mailing Address - City:DADE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33523-0628
Mailing Address - Country:US
Mailing Address - Phone:877-573-2767
Mailing Address - Fax:
Practice Address - Street 1:34612 PROMISE LN
Practice Address - Street 2:
Practice Address - City:DADE CITY
Practice Address - State:FL
Practice Address - Zip Code:33523-0628
Practice Address - Country:US
Practice Address - Phone:877-573-2767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:S-FARMS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty