# RIVER CITY COUNSELING PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528329505
- **Authorized official:** MR. CHARLES HIATT LPC/MHSP (PRESIDENT)
- **Authorized official phone:** (423) 933-2575

## Contact information

- **Practice address:** 5819 WINDING LN, SUITE \#133, HIXSON, TN 37343-3631
- **Practice address phone:** (423) 933-2575
- **Practice address fax:** (423) 285-6160
- **Mailing address:** 5819 WINDING LN, SUITE \#133, HIXSON, TN 37343-3631
- **Mailing address phone:** (423) 933-2575
- **Mailing address fax:** (423) 285-6160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 06/06/2012
- **Last updated:** 06/06/2012