Provider Demographics
NPI:1942888292
Name:STRIVE THERAPY SERVICES, INC
Entity Type:Organization
Organization Name:STRIVE THERAPY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLIENT CARE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PATTY
Authorized Official - Middle Name:
Authorized Official - Last Name:DESHETLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-922-1236
Mailing Address - Street 1:7111 DIXIE HWY # 123
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48346-2077
Mailing Address - Country:US
Mailing Address - Phone:248-922-1236
Mailing Address - Fax:248-922-1235
Practice Address - Street 1:6751 DIXIE HWY STE 113
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-2080
Practice Address - Country:US
Practice Address - Phone:248-922-1236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child