| NPI | 1871719872 |
|---|---|
| Doing Business As | LIFESTANCE HEALTH |
| Entity Type | Organization |
| Authorized Contact | RYAN PARDO Chief Legal Officer 206-399-1493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103TC0700X Psychologist, Clinical | |
| 103TF0000X Psychologist, Family | |
| 103TF0200X Psychologist, Forensic | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2024-01-02 |