Provider Demographics
NPI:1871933184
Name:THRIVE AUTISM SOLUTIONS, LTD.
Entity type:Organization
Organization Name:THRIVE AUTISM SOLUTIONS, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RAELYNN
Authorized Official - Middle Name:J
Authorized Official - Last Name:HILLHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:808-895-7003
Mailing Address - Street 1:26419 MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:SHELL KNOB
Mailing Address - State:MO
Mailing Address - Zip Code:65747-7481
Mailing Address - Country:US
Mailing Address - Phone:808-895-7003
Mailing Address - Fax:
Practice Address - Street 1:1051 E CHURCH ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:MO
Practice Address - Zip Code:65605-2316
Practice Address - Country:US
Practice Address - Phone:476-222-1942
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-01
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health