Circle of Life Holistic Care, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CIRCLE OF LIFE HOLISTIC CARE, LLC

Practice address

708 Broadway Ste 105
Tacoma, WA 98402-3750

Phone

(253) 224-0509

NPI assigned

May 31, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelli Marie Lyles, MANPI 1184958795

Title

Owner

Phone

(253) 224-0509

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelli Lyles, MA

  • Health & Wellness Coach
  • Port Orchard, WA
  • NPI 1184958795
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622419200000",
    "number": "1467028530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 BROADWAY STE 105",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023750",
            "telephone_number": "253-224-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 BROADWAY STE 105",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023750",
            "telephone_number": "253-224-0509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 SE Mile Hill Dr Ste 254",
            "address_purpose": "LOCATION",
            "city": "Port Orchard",
            "state": "WA",
            "postal_code": "983663554",
            "country_code": "US",
            "telephone_number": "253-224-0509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CIRCLE OF LIFE HOLISTIC CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-31",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A",
        "authorized_official_last_name": "LYLES",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-224-0509",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelli@circleoflifeholisticcare.com",
            "affiliation": "N",
            "address_1": "708 Broadway Ste 105",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984023750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William Thomas Chythlook, M.D.
• Kelsey Marie Cibicki, DNP
• Martin V Cieri, MD
• Sharon Ann Cinnamon, OTA
• Fiona Olive Cipiti
• Blake Cirks, MD
• Mahamadou Cisse
• City of Tacoma
• City of Tacoma
• City University

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.