Organization
LIVE MINDFULLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE JEANETTE LYONS LICSW (MANAGER/OWNER)
(425) 903-8953
Entity
Organization
Contact information
Practice address
12840 SE 3RD ST, BELLEVUE, WA 98005-3605
(801) 694-7143
Mailing address
12840 SE 3RD ST, BELLEVUE, WA 98005-3605
(801) 694-7143
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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