Provider Demographics
NPI:1497914246
Name:2-STRIVE, LLC
Entity Type:Organization
Organization Name:2-STRIVE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:DALY
Authorized Official - Suffix:
Authorized Official - Credentials:EDD,LMHC,BCBA-D
Authorized Official - Phone:321-436-8445
Mailing Address - Street 1:PO BOX 364
Mailing Address - Street 2:
Mailing Address - City:GOTHA
Mailing Address - State:FL
Mailing Address - Zip Code:34734-0364
Mailing Address - Country:US
Mailing Address - Phone:321-436-8445
Mailing Address - Fax:407-573-1193
Practice Address - Street 1:800 S EUSTIS ST
Practice Address - Street 2:SUITE G
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32726-4886
Practice Address - Country:US
Practice Address - Phone:321-436-8445
Practice Address - Fax:407-298-9166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-06
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL05047251B00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008750400Medicaid
FL001679600Medicaid
FL003888800Medicaid
FL008316100Medicaid