Provider Demographics
NPI:1407220346
Name:SUCCESS ON THE SPECTRUM LLC
Entity type:Organization
Organization Name:SUCCESS ON THE SPECTRUM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICHOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-217-8328
Mailing Address - Street 1:8181 COMMERCE PARK DR STE 726
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7449
Mailing Address - Country:US
Mailing Address - Phone:346-217-8328
Mailing Address - Fax:844-561-3797
Practice Address - Street 1:8181 COMMERCE PARK DR STE 726
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7449
Practice Address - Country:US
Practice Address - Phone:346-217-8328
Practice Address - Fax:844-561-3797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-16
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and SpeechGroup - Multi-Specialty
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational MedicineGroup - Multi-Specialty