Provider Demographics
NPI:1306371422
Name:HEALTHY STRIDES, LLC
Entity Type:Organization
Organization Name:HEALTHY STRIDES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GIERS
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:217-383-0065
Mailing Address - Street 1:9013 E SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:ARGENTA
Mailing Address - State:IL
Mailing Address - Zip Code:62501-8045
Mailing Address - Country:US
Mailing Address - Phone:217-383-0065
Mailing Address - Fax:
Practice Address - Street 1:9013 E SCHOOL RD
Practice Address - Street 2:
Practice Address - City:ARGENTA
Practice Address - State:IL
Practice Address - Zip Code:62501-8045
Practice Address - Country:US
Practice Address - Phone:217-383-0065
Practice Address - Fax:217-402-3454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-26
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty