| NPI | 1295914646 |
|---|---|
| Doing Business As | LIFESTANCE |
| Entity Type | Organization |
| Authorized Contact | RYAN PARDO Chief Legal Officer 206-399-1493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: IL 149-010253) | |
| 1041C0700X Social Worker, Clinical | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2024-03-06 |