Organization
LIVE WELL PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE LAMIGO BROOKS ARNP (OWNER)
(253) 245-8668
Entity
Organization
Contact information
Practice address
3005 13TH AVENUE CT NW, PUYALLUP, WA 98371-3896
(125) 324-5866
Mailing address
3005 13TH AVENUE CT NW, PUYALLUP, WA 98371-3896
(125) 324-5866
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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