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Organization
THE GOOD LIFE INSTITUTE, LLC
Active
Organization
THE GOOD LIFE INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARIAH C PHILLIPS LICSW (CO-OWNER/THERAPIST)
(253) 238-6554
Entity
Organization
Contact information
Practice address
1033 REGENTS BLVD STE 101, FIRCREST, WA 98466-6089
(253) 238-6554
(253) 590-0821
Mailing address
1033 REGENTS BLVD STE 101, FIRCREST, WA 98466-6089
(253) 238-6554
(253) 590-0821
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LW60200313
WA
106H00000X
Marriage & Family Therapist
LF60123442
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316128523
NPI
WA
01
—
1649450313
NPI
WA
Enumeration date
09/26/2017
Last updated
07/21/2022
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