Provider Demographics
NPI:1972485472
Name:STRIVUS INC
Entity type:Organization
Organization Name:STRIVUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STEERING COMMITTEE CHAIR
Authorized Official - Prefix:MS
Authorized Official - First Name:LEONA
Authorized Official - Middle Name:SELBY
Authorized Official - Last Name:WAITES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-200-3633
Mailing Address - Street 1:2527 VANDEVER RD # B
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38572-3317
Mailing Address - Country:US
Mailing Address - Phone:931-200-3633
Mailing Address - Fax:
Practice Address - Street 1:227 BURMA RD
Practice Address - Street 2:
Practice Address - City:BALL
Practice Address - State:LA
Practice Address - Zip Code:71405-9424
Practice Address - Country:US
Practice Address - Phone:931-200-3633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities