Provider Demographics
NPI:1891370334
Name:ONION RIVER PSYCHIATRY LLC
Entity Type:Organization
Organization Name:ONION RIVER PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRIANA
Authorized Official - Middle Name:A
Authorized Official - Last Name:TEXTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-663-9590
Mailing Address - Street 1:9 DERBY DR
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-3312
Mailing Address - Country:US
Mailing Address - Phone:802-299-5125
Mailing Address - Fax:620-202-6588
Practice Address - Street 1:132 MAIN ST
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-3226
Practice Address - Country:US
Practice Address - Phone:802-277-7979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty