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Organization

LIVE LIFE HEALED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TABITHA MICHELLE KURIA LMHC (THERAPIST)
(253) 221-9843
Entity
Organization

Contact information

Practice address
2518 CHATEAU DR, PUYALLUP, WA 98373-1550
(253) 693-8096
Mailing address
5614 176TH ST E STE B103, PUYALLUP, WA 98375-9303
(253) 693-8096

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
04/17/2024
Last updated
04/17/2024
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