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Organization
FIVE RIVERS MENTAL HEALTH LLC
Active
Organization
FIVE RIVERS MENTAL HEALTH LLC
Active
Other names
Five Rivers Mental Health Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH K SIFERS PHD, LP (PRESIDENT)
(507) 345-7012
Entity
Organization
Contact information
Practice address
1650 MADISON AVE, STE 102, MANKATO, MN 56001-5471
(507) 345-7012
(507) 388-6937
Mailing address
1650 MADISON AVE, STE 102, MANKATO, MN 56001-5471
(507) 345-7012
(507) 388-6937
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LP5185
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689111601
—
MN
Enumeration date
01/28/2017
Last updated
08/19/2020
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