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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