Healthcare Provider Details

I. General information

NPI: 1295419943
Provider Name (Legal Business Name): RIVERBEND THERAPIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2023
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 S SCHOOL AVE APT 460
FAYETTEVILLE AR
72701-5918
US

IV. Provider business mailing address

525 S SCHOOL AVE APT 460
FAYETTEVILLE AR
72701-5918
US

V. Phone/Fax

Practice location:
  • Phone: 479-222-0604
  • Fax: 479-379-6177
Mailing address:
  • Phone: 479-222-0604
  • Fax: 479-379-6177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: BRANDON THOMAS THURMAN
Title or Position: OWNER AND THERAPIST
Credential: LAC, BCBA, CRC
Phone: 479-222-0604