Provider Demographics
NPI:1194237446
Name:STRATEGY ROADWAYS, LLC
Entity type:Organization
Organization Name:STRATEGY ROADWAYS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CARYN
Authorized Official - Middle Name:WEBB
Authorized Official - Last Name:AYERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC
Authorized Official - Phone:832-886-6733
Mailing Address - Street 1:3 SUGAR CREEK CENTER BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-2211
Mailing Address - Country:US
Mailing Address - Phone:832-886-6733
Mailing Address - Fax:
Practice Address - Street 1:3 SUGAR CREEK CENTER BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-2211
Practice Address - Country:US
Practice Address - Phone:832-886-6733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-26
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
69023101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1841658937OtherINDIVIDUAL