Organization
OPTIMALLIFE WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LARA K SYMONDS MA (OWNER)
(206) 459-5987
Entity
Organization
Contact information
Practice address
2320 130TH AVE NE STE 240, BELLEVUE, WA 98005-1718
(425) 646-2778
(425) 453-6377
Mailing address
2320 130TH AVE NE STE 240, BELLEVUE, WA 98005-1718
(425) 598-7132
(425) 453-6377
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
LF00001767
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11644468
CAQH
—
01
—
306139956
UBH
—
01
—
708715000
MAGELLAN
—
Enumeration date
03/21/2007
Last updated
03/13/2025
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