Healthcare Provider Details

I. General information

NPI: 1164333803
Provider Name (Legal Business Name): STRIVE HEALTH & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 QUANTUM LAKES DR STE 108B
BOYNTON BEACH FL
33426-8308
US

IV. Provider business mailing address

2500 QUANTUM LAKES DR STE 108B
BOYNTON BEACH FL
33426-8308
US

V. Phone/Fax

Practice location:
  • Phone: 772-446-4253
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BLAKE BAILEY
Title or Position: CEO
Credential:
Phone: 704-322-5475