Provider Demographics
NPI:1205607512
Name:STRIVE WELLNESS CONSULTING LLC
Entity type:Organization
Organization Name:STRIVE WELLNESS CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TESSIA
Authorized Official - Middle Name:
Authorized Official - Last Name:REQUENA-OZENE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:337-550-5309
Mailing Address - Street 1:PO BOX 128
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-0128
Mailing Address - Country:US
Mailing Address - Phone:337-550-5309
Mailing Address - Fax:
Practice Address - Street 1:1405 W PINHOOK RD STE 107G-H
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-3100
Practice Address - Country:US
Practice Address - Phone:337-550-5309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)