Organization · Type 2 NPI

Live Radically, PLLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Kelso, WA

NPI number 1750287231 Active

Practice location

1010 Harris St
Kelso, WA 98626-4512

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1750287231

Live Radically, PLLC's National Provider Identifier is 1750287231, issued on Oct 20, 2026. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Kelso, WA. The record was last updated on Oct 20, 2026.