Healthcare Provider Details

I. General information

NPI: 1699896951
Provider Name (Legal Business Name): COVERED BRIDGE MEDICAL AND COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2367 HARRISON AVE
EUREKA CA
95501-3216
US

IV. Provider business mailing address

2367 HARRISON AVE
EUREKA CA
95501-3216
US

V. Phone/Fax

Practice location:
  • Phone: 707-443-1130
  • Fax:
Mailing address:
  • Phone: 707-443-1130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER LEE CODY
Title or Position: OWNER
Credential: MD
Phone: 707-443-1130