Healthcare Provider Details

I. General information

NPI: 1376191601
Provider Name (Legal Business Name): RIVERS AND ROADS PSYCHOTHERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2019
Last Update Date: 08/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 W MAIN ST
SAINT CLAIRSVILLE OH
43950-1225
US

IV. Provider business mailing address

10 DEERHAVEN DR
WHEELING WV
26003-9719
US

V. Phone/Fax

Practice location:
  • Phone: 304-905-5501
  • Fax:
Mailing address:
  • Phone: 304-905-5501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. HEATHER NICOLE SEXTON
Title or Position: OWNER/THERAPIST
Credential:
Phone: 304-905-5501