Healthcare Provider Details

I. General information

NPI: 1023971785
Provider Name (Legal Business Name): HOUSE OF EIR LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 SILOPANNA RD
ANNAPOLIS MD
21403-1109
US

IV. Provider business mailing address

6831 OLD SOLOMONS ISLAND RD
FRIENDSHIP MD
20758-9750
US

V. Phone/Fax

Practice location:
  • Phone: 443-852-4985
  • Fax:
Mailing address:
  • Phone: 443-852-4985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SYDNEY WILLIAMS
Title or Position: FOUNDER
Credential: LCSW
Phone: 443-852-4985