NPI | 1316375678 |
---|---|
Doing Business As | LIFESTANCE HEALTH |
Entity Type | Organization |
Authorized Contact | RYAN PARDO Chief Legal Officer 425-279-8500 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional |
1041C0700X Social Worker, Clinical (Licence: SC 8539) | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2013-10-24 |
Last Update Date | 2023-10-05 |