Provider Demographics
NPI:1306211305
Name:HEALTHY STRATEGIES
Entity Type:Organization
Organization Name:HEALTHY STRATEGIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROSCOE
Authorized Official - Middle Name:DEONDRE
Authorized Official - Last Name:LAWTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-901-7698
Mailing Address - Street 1:2303 W PALMETTO ST
Mailing Address - Street 2:APT X
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-4094
Mailing Address - Country:US
Mailing Address - Phone:919-901-7698
Mailing Address - Fax:
Practice Address - Street 1:2303 W PALMETTO ST
Practice Address - Street 2:APT X
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-4094
Practice Address - Country:US
Practice Address - Phone:919-901-7698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-02
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health