# OPTIMALLIFE WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851417810
- **Authorized official:** MS. LARA K SYMONDS MA (OWNER)
- **Authorized official phone:** (206) 459-5987

## Contact information

- **Practice address:** 2320 130TH AVE NE STE 240, BELLEVUE, WA 98005-1718
- **Practice address phone:** (425) 646-2778
- **Practice address fax:** (425) 453-6377
- **Mailing address:** 2320 130TH AVE NE STE 240, BELLEVUE, WA 98005-1718
- **Mailing address phone:** (425) 598-7132
- **Mailing address fax:** (425) 453-6377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | LF00001767 | WA | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 03/13/2025