| Strive Health Southeast, Llc | |
|
11 North Water Street 10th Floor (office 1018) Mobile AL 36602 | |
| (205) 860-7878 | |
| Not Available |
| Full Name | Strive Health Southeast, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11 North Water Street, Mobile, Alabama |
| Authorized Official Name and Position | Aaron Molitor (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 9132321472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Strive Health Southeast, Llc 1600 Stout St Ste 2000 Denver CO 80202-3113 Ph: () - | Strive Health Southeast, Llc 11 North Water Street 10th Floor (office 1018) Mobile AL 36602 Ph: (205) 860-7878 |
| NPI Number | 1811506975 |
|---|---|
| Provider Enumeration Date | 07/24/2020 |
| Last Update Date | 03/28/2024 |
| Medicare PECOS PAC ID | 4183035249 |
|---|---|
| Medicare Enrollment ID | O20201120000412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811506975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Amanda L Mcclanahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821733544 PECOS PAC ID: 1951788801 Enrollment ID: I20220513001622 |
| Provider Name | Alan Meisterman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770230625 PECOS PAC ID: 3971558693 Enrollment ID: I20220713000427 |
| Provider Name | Margaret Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093843732 PECOS PAC ID: 3779552690 Enrollment ID: I20220725002254 |
| Provider Name | Farhad Modarai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497098610 PECOS PAC ID: 8224310289 Enrollment ID: I20240117002627 |
| Provider Name | Christine Gallup |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083981831 PECOS PAC ID: 8224422597 Enrollment ID: I20240219001464 |
| Provider Name | Haley D Justus |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861896672 PECOS PAC ID: 9638565633 Enrollment ID: I20240308003315 |
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