NPI 1033963764

Live Life Healed

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) Puyallup, WA

Practice location

Address: 2518 Chateau Dr, Puyallup, WA 98373-1550
Phone: (253) 693-8096
Mailing address: 5614 176th St E STE B103, Puyallup, WA 98375-9303

Authorised official

Name: Tabitha Michelle Kuria
Title: Therapist
Phone: (253) 221-9843

Registered specialties (3)

Mental Health Clinic/Center (Including Community Mental Health Center) Primary

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Other Clinic/Center providers in Washington →

Adult Mental Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM0850X

Adolescent and Children Mental Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM0855X

Registry record

NPI: 1033963764
Entity type: Organization
NPI issued: 17 Apr 2024
Record last updated: 17 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.