Individual provider · Type 1 NPI

Charles Nathaniel Lyles, LICSW

Mental Health Counselor · Renton, WA

NPI number 1104555150 Active

Practice location

707 S Grady Way Ste 300
Renton, WA 98057-3245

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X61265382 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1104555150

Charles Nathaniel Lyles, LICSW's National Provider Identifier is 1104555150, issued on Jun 6, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Renton, WA. The record was last updated on Apr 17, 2025.