Active NPI
Live Life Healed
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Puyallup, WA
National Provider Identifier
1033963764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- LIVE LIFE HEALED
- Practice address
- 2518 Chateau Dr
Puyallup, WA 98373-1550 - Phone
- (253) 693-8096
- NPI assigned
- Apr 17, 2024
- Last updated
- Apr 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tabitha Michelle Kuria, LMHC
- Title
- Therapist
- Phone
- (253) 221-9843
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary | |
| Adult Mental Health Clinic/Center | 261QM0850X | NU | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | NU |
Addresses
Primary practice location
2518 Chateau Dr
Puyallup, WA 98373-1550
Mailing address
5614 176TH St E Ste B103
Puyallup, WA 98375-9303
Phone (253) 693-8096
National Provider Directory
National Provider DirectoryLocations
5614 176th St E
Ste B103
Puyallup, WA 98375
Phone (206) 851-2106
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Tacoma, WA
- NPI 1346715992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713312000000",
"number": "1033963764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5614 176TH ST E STE B103",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983759303",
"telephone_number": "253-693-8096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2518 CHATEAU DR",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983731550",
"telephone_number": "253-693-8096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVE LIFE HEALED",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-17",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A",
"authorized_official_last_name": "KURIA",
"authorized_official_first_name": "TABITHA",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "253-221-9843",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.