Provider Demographics
NPI:1720560436
Name:ERIKA GIRALDO, PLLC
Entity Type:Organization
Organization Name:ERIKA GIRALDO, PLLC
Other - Org Name:MINDHEALTH ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIRALDO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:206-390-1968
Mailing Address - Street 1:19109 36TH AVE W STE 209
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-5767
Mailing Address - Country:US
Mailing Address - Phone:425-673-7585
Mailing Address - Fax:425-673-7586
Practice Address - Street 1:19109 36TH AVE W STE 209
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-5767
Practice Address - Country:US
Practice Address - Phone:425-673-7585
Practice Address - Fax:425-673-7586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP602016642084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty