Provider Demographics
NPI:1720370224
Name:LIFTING YOUNG MINDS TO NEW HEIGHTS, LLC
Entity Type:Organization
Organization Name:LIFTING YOUNG MINDS TO NEW HEIGHTS, LLC
Other - Org Name:NEW HEIGHTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:PILSNER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, SLP-CCC, BCBA
Authorized Official - Phone:832-569-4316
Mailing Address - Street 1:210 GENESIS BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-1636
Mailing Address - Country:US
Mailing Address - Phone:832-569-4316
Mailing Address - Fax:832-838-4458
Practice Address - Street 1:210 GENESIS BLVD STE D
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-1636
Practice Address - Country:US
Practice Address - Phone:832-569-4316
Practice Address - Fax:832-838-4458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-03
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
TX104437235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty