Provider Demographics
NPI:1881153617
Name:ADAM FARERO, LMFT LLC
Entity type:Organization
Organization Name:ADAM FARERO, LMFT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FARERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-258-2486
Mailing Address - Street 1:863 EATON DR
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:MI
Mailing Address - Zip Code:48854-1335
Mailing Address - Country:US
Mailing Address - Phone:517-258-2486
Mailing Address - Fax:
Practice Address - Street 1:863 EATON DR
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:MI
Practice Address - Zip Code:48854-1335
Practice Address - Country:US
Practice Address - Phone:517-258-2486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty