Provider Demographics
NPI:1265220289
Name:MESA DEVELOPMENTAL SERVICES DBA STRIVE
Entity type:Organization
Organization Name:MESA DEVELOPMENTAL SERVICES DBA STRIVE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTANT
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-256-8637
Mailing Address - Street 1:790 WELLINGTON AVE # 81501
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-6132
Mailing Address - Country:US
Mailing Address - Phone:970-256-8637
Mailing Address - Fax:970-256-8637
Practice Address - Street 1:790 WELLINGTON AVE
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-6132
Practice Address - Country:US
Practice Address - Phone:970-256-8637
Practice Address - Fax:970-256-8637
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MESA DEVELOPMENTAL SERVICES DBA STRIVE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-29
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty