Provider Demographics
NPI:1376955138
Name:STRYKER BEHAVIORAL HEALTH, INC
Entity Type:Organization
Organization Name:STRYKER BEHAVIORAL HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:STRYKER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, MCAP, ACHP-SW
Authorized Official - Phone:239-997-1695
Mailing Address - Street 1:2451 CUMBERLAND PKWY SE STE 3427
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-6136
Mailing Address - Country:US
Mailing Address - Phone:239-997-1695
Mailing Address - Fax:239-747-7177
Practice Address - Street 1:4560 VINSETTA AVE
Practice Address - Street 2:
Practice Address - City:NORTH FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-4654
Practice Address - Country:US
Practice Address - Phone:239-997-1695
Practice Address - Fax:239-747-7177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-28
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty