Healthcare Provider Details

I. General information

NPI: 1205773538
Provider Name (Legal Business Name): STRIDE INTEGRATIVE PSYCHIATRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 N ST STE 102
ANCHORAGE AK
99501-3285
US

IV. Provider business mailing address

2809 QUAIL RUN CT
LEXINGTON OH
44904-1360
US

V. Phone/Fax

Practice location:
  • Phone: 907-223-6254
  • Fax:
Mailing address:
  • Phone: 907-223-6254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDREA ZANDERS
Title or Position: NURSE PRACTITIONER
Credential: DNP, APRN-CNP, PMHNP
Phone: 907-223-6254