Provider Demographics
NPI:1801689823
Name:THRIVING RIVERS SCHOOL PSYCHOLOGICAL AND EDUCATIONAL SERVICES, LLC
Entity type:Organization
Organization Name:THRIVING RIVERS SCHOOL PSYCHOLOGICAL AND EDUCATIONAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, NCSP, BC-TMH
Authorized Official - Phone:304-550-7523
Mailing Address - Street 1:1648 GREATHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26187-8400
Mailing Address - Country:US
Mailing Address - Phone:304-550-7523
Mailing Address - Fax:
Practice Address - Street 1:200 PUTNAM ST STE 410
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-3009
Practice Address - Country:US
Practice Address - Phone:740-401-9766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty