Individual
KELLI LYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3974 WEATHERS CT SE, PORT ORCHARD, WA 98366-1756
(253) 224-0509
Mailing address
3974 WEATHERS CT SE, PORT ORCHARD, WA 98366-1756
(253) 224-0509
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
WA
171400000X
Health & Wellness Coach
Primary
—
—
174H00000X
Health Educator
—
—
374J00000X
Doula
—
—
Other
Enumeration date
09/29/2009
Last updated
01/09/2025
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