Provider Demographics
NPI:1225636319
Name:STRIDE FORWARD COUNSELING LLC
Entity Type:Organization
Organization Name:STRIDE FORWARD COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:SZABO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-207-1742
Mailing Address - Street 1:PO BOX 1344
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-1829
Mailing Address - Country:US
Mailing Address - Phone:480-207-1742
Mailing Address - Fax:
Practice Address - Street 1:1166 E WARNER RD STE 101
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-3065
Practice Address - Country:US
Practice Address - Phone:480-207-1742
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-12
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty