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Organization

CIRCLE OF LIFE HOLISTIC CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLI MARIE LYLES MA (OWNER)
(253) 224-0509
Entity
Organization

Contact information

Practice address
708 BROADWAY STE 105, TACOMA, WA 98402-3750
(253) 224-0509
Mailing address
708 BROADWAY STE 105, TACOMA, WA 98402-3750
(253) 224-0509

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
05/31/2021
Last updated
05/31/2021
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