Provider Demographics
NPI:1497434492
Name:THRIVE WITH AUTISM
Entity Type:Organization
Organization Name:THRIVE WITH AUTISM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDSMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-719-0867
Mailing Address - Street 1:12511 FORT ISABELLA DR
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-1086
Mailing Address - Country:US
Mailing Address - Phone:713-818-0307
Mailing Address - Fax:
Practice Address - Street 1:602 PRUITT RD
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3017
Practice Address - Country:US
Practice Address - Phone:281-719-0867
Practice Address - Fax:832-218-5858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)