Provider Demographics
NPI:1225605959
Name:RIVERBEND COUNSELING PLLC
Entity Type:Organization
Organization Name:RIVERBEND COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:LLOYD
Authorized Official - Last Name:JETER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:830-515-8480
Mailing Address - Street 1:686 S SEGUIN AVE
Mailing Address - Street 2:UNIT 311996
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78131-2602
Mailing Address - Country:US
Mailing Address - Phone:830-515-8480
Mailing Address - Fax:817-585-4842
Practice Address - Street 1:1099 N WALNUT AVE
Practice Address - Street 2:SUITE A
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-4450
Practice Address - Country:US
Practice Address - Phone:830-515-8480
Practice Address - Fax:817-585-4842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-10
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty