| Circle Of Life Holistic Care, Llc | |
|
708 Broadway Ste 105 Tacoma WA 98402-3750 | |
| (253) 224-0509 | |
| Not Available |
| Full Name | Circle Of Life Holistic Care, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 708 Broadway Ste 105, Tacoma, Washington |
| Authorized Official Name and Position | Kelli Marie Lyles (OWNER) |
| Authorized Official Contact | 2532240509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Circle Of Life Holistic Care, Llc 708 Broadway Ste 105 Tacoma WA 98402-3750 Ph: (253) 224-0509 | Circle Of Life Holistic Care, Llc 708 Broadway Ste 105 Tacoma WA 98402-3750 Ph: (253) 224-0509 |
| NPI Number | 1467028530 |
|---|---|
| Provider Enumeration Date | 05/31/2021 |
| Last Update Date | 05/31/2021 |
| Certification Date | 05/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467028530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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