Healthcare Provider Details

I. General information

NPI: 1356263743
Provider Name (Legal Business Name): RIVER CITY PSYCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

513 FOREST AVE STE D
RICHMOND VA
23229-6850
US

IV. Provider business mailing address

513 FOREST AVE STE D
RICHMOND VA
23229-6850
US

V. Phone/Fax

Practice location:
  • Phone: 804-300-3421
  • Fax:
Mailing address:
  • Phone: 804-300-3421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ELISABETH QUINTRELL SWEENEY
Title or Position: OWNER
Credential: PHD
Phone: 804-300-3421