Provider Demographics
NPI:1174405963
Name:SFD LLC
Entity type:Organization
Organization Name:SFD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIANNA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:SEABOURN
Authorized Official - Suffix:
Authorized Official - Credentials:AAC, CPC
Authorized Official - Phone:360-480-1229
Mailing Address - Street 1:2344 CARPENTER RD SE APT F
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98503-4091
Mailing Address - Country:US
Mailing Address - Phone:360-480-1229
Mailing Address - Fax:360-480-1229
Practice Address - Street 1:2344 CARPENTER RD SE APT F
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-4091
Practice Address - Country:US
Practice Address - Phone:360-480-1229
Practice Address - Fax:360-480-1229
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SECURE FUTURE DYNAMICS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
No172A00000XOther Service ProvidersDriverGroup - Multi-Specialty
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty