| NPI | 1790186385 |
|---|---|
| Doing Business As | LIFESTANCE HEALTH |
| Entity Type | Organization |
| Authorized Contact | RYAN PARDO Chief Legal Officer 206-399-1493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 27766) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2023-03-28 |