Provider Demographics
NPI:1831950831
Name:INFINITY FAMILY THERAPY
Entity type:Organization
Organization Name:INFINITY FAMILY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:EAMES
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:206-659-9106
Mailing Address - Street 1:31919 1ST AVE S STE 208
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-5236
Mailing Address - Country:US
Mailing Address - Phone:206-659-9106
Mailing Address - Fax:
Practice Address - Street 1:31919 1ST AVE S STE 208
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5236
Practice Address - Country:US
Practice Address - Phone:206-659-9106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty