| NPI | 1881990869 |
|---|---|
| Doing Business As | LIFESTANCE HEALTH |
| Entity Type | Organization |
| Authorized Contact | RYAN PARDO Legal Chief Officer 206-399-1493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2023-10-19 |