Healthcare Provider Details

I. General information

NPI: 1083235766
Provider Name (Legal Business Name): STRIVING TO EMPOWER PARENTS & CHILDREN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2020
Last Update Date: 05/04/2020
Certification Date: 05/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

858 MARJORY TER
LANCASTER PA
17603-5865
US

IV. Provider business mailing address

858 MARJORY TER
LANCASTER PA
17603-5865
US

V. Phone/Fax

Practice location:
  • Phone: 717-598-2860
  • Fax:
Mailing address:
  • Phone: 717-598-2860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: JUSTINA CRUZ
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 202-706-4899