# SWEET LIFE WELLNESS DIRECT PRIMARY CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sweet Life Wellness Direct Primary Care & Aesthetics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588546998
- **Authorized official:** DR. BETHANY SWEET MD (PHYSICIAN)
- **Authorized official phone:** (360) 472-4785

## Contact information

- **Practice address:** 4525 INTELCO LOOP SE STE 205, LACEY, WA 98503-5117
- **Practice address phone:** (360) 472-4785
- **Practice address fax:** (360) 299-6116
- **Mailing address:** PO BOX 944, EAST OLYMPIA, WA 98540-0944
- **Mailing address phone:** (360) 472-4785
- **Mailing address fax:** (360) 299-6116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2025
- **Last updated:** 07/24/2025