Provider Demographics
NPI:1720483480
Name:THIRA HEALTH
Entity Type:Organization
Organization Name:THIRA HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MEHRI
Authorized Official - Middle Name:DAMAVANDI
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-930-2616
Mailing Address - Street 1:11400 SE 6TH STREET
Mailing Address - Street 2:STE 200
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-6423
Mailing Address - Country:US
Mailing Address - Phone:425-454-1199
Mailing Address - Fax:425-454-8779
Practice Address - Street 1:11400 SE 6TH STREET
Practice Address - Street 2:STE 200
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-6423
Practice Address - Country:US
Practice Address - Phone:425-454-1199
Practice Address - Fax:425-454-8779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-23
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health