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THIRA HEALTH NPI 1720483480


NPI Information

NPI: 1720483480
Provider Name: THIRA HEALTH
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 50D2277707

Address:
11400 SE 6TH STREET
STE 200
BELLEVUE, WA
ZIP 98004
Phone: (425) 454-1199
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THIRA HEALTH is an adult mental health clinic center in Bellevue, WA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. THIRA HEALTH NPI is 1720483480. The provider is registered as an organization entity type.

The provider's business location address is:

11400 SE 6TH STREET
STE 200
BELLEVUE, WA
ZIP 98004-423
Phone: (425) 454-1199
Fax: (425) 454-8779

The provider's authorized official is Mehri Damavandi Moore .
The authorized official title is Medical Director and has the following contact phone number (206) 930-2616.

The CLIA number assigned to this NPI record is 50D2277707 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2014 and was last updated on 9/28/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
2261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.