Provider Demographics
NPI:1851047450
Name:EIRI THERAPY PLLC
Entity Type:Organization
Organization Name:EIRI THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CODY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MCCALL
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:509-540-0248
Mailing Address - Street 1:PO BOX 59566
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-2566
Mailing Address - Country:US
Mailing Address - Phone:509-540-0248
Mailing Address - Fax:833-415-1869
Practice Address - Street 1:555 ANDOVER PARK W STE 200
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-3379
Practice Address - Country:US
Practice Address - Phone:206-486-6682
Practice Address - Fax:833-415-1869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-23
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health