MEDICARE: SWEET SUNSHINE FARMS LLC - DBA SPECIAL STRONG FORT WORTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1972464188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWEET SUNSHINE FARMS LLC - DBA SPECIAL STRONG FORT WORTH

Provider Business Mailing Address
First Line	:	PO BOX 124
Second Line	:
City	:	AZLE
State	:	TX
Zip	:	76098-0124
Country	:	US
Telephone Number	:	636-208-5210
Fax Number	:

Provider Business Practice Location Address
First Line	:	3349 HIAWATHA TRL
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76135-3856
Country	:	US
Telephone Number	:	636-208-5210
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	TOMI SWEET
Credential	:	ISSA, ADAPTED CERT
Telephone Number	:	636-208-5210

Provider Enumeration Date	:	11/19/2025
Last Update Date	:	11/19/2025

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