Provider Demographics
NPI:1114570173
Name:STRIVE THERAPEUTIC SERVICES INC
Entity Type:Organization
Organization Name:STRIVE THERAPEUTIC SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:HALLABA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-715-1174
Mailing Address - Street 1:PO BOX 741
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:OK
Mailing Address - Zip Code:73601-0741
Mailing Address - Country:US
Mailing Address - Phone:580-715-1174
Mailing Address - Fax:
Practice Address - Street 1:123 S 9TH ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:OK
Practice Address - Zip Code:73601-3328
Practice Address - Country:US
Practice Address - Phone:580-715-1174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-18
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care