Healthcare Provider Details

I. General information

NPI: 1003724360
Provider Name (Legal Business Name): RLUNDERHILL PSYCHOTHERAPY AND HEALING LLC (DBA DRAGON FIRE HEALING COLLECTIVE)
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3728 13TH AVE S
MINNEAPOLIS MN
55407-2710
US

IV. Provider business mailing address

3728 13TH AVE S
MINNEAPOLIS MN
55407-2710
US

V. Phone/Fax

Practice location:
  • Phone: 612-404-0136
  • Fax:
Mailing address:
  • Phone: 612-404-0136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RYANNE UNDERHILL
Title or Position: OWNER/MENTAL HEALTH THERAPIST
Credential: MSW, LICSW
Phone: 612-404-0136