Provider Demographics
NPI:1053082446
Name:RIVER CITY PSYCHIATRIC SERVICES, LLC
Entity Type:Organization
Organization Name:RIVER CITY PSYCHIATRIC SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:CNP, PMHNP-BC
Authorized Official - Phone:507-208-7629
Mailing Address - Street 1:902 E 2ND ST STE 109
Mailing Address - Street 2:
Mailing Address - City:WINONA
Mailing Address - State:MN
Mailing Address - Zip Code:55987-6354
Mailing Address - Country:US
Mailing Address - Phone:507-208-7629
Mailing Address - Fax:507-607-8671
Practice Address - Street 1:902 E 2ND ST STE 109
Practice Address - Street 2:
Practice Address - City:WINONA
Practice Address - State:MN
Practice Address - Zip Code:55987-6354
Practice Address - Country:US
Practice Address - Phone:507-208-7629
Practice Address - Fax:507-607-8671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-24
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health