Provider Demographics
NPI:1508655036
Name:FARAG, SARAH GEORGE
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:GEORGE
Last Name:FARAG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4520 NETTLE CREEK CT
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32127-9200
Mailing Address - Country:US
Mailing Address - Phone:732-284-1379
Mailing Address - Fax:
Practice Address - Street 1:4520 NETTLE CREEK CT
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32127-9200
Practice Address - Country:US
Practice Address - Phone:732-284-1379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health