| Organization Name: | THRIVE PEDIATRIC THERAPY GROUP |
| NPI Number: | 1285007625 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHIQUITA SMITH (OWNER/SPEECH LANGUAGE PATHOLOGIST) |
| Mailing Address: | 1596 Cleveland Ave Unit 103 East Point |
| State: | GA US |
| Postal Code: | 303443205 |
| Phone Number: | 4049753080 |
| Fax Number: | 8888860460 |
| NPI Enumeration Date: | 11/06/2015 |
| NPI Last Update Date: | 11/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP005342 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |