| NPI | 1902671316 |
|---|---|
| Doing Business As | LIFESTANCE HEALTH |
| Entity Type | Organization |
| Authorized Contact | RYAN PARDO Chief Legal Officer 206-399-1493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103TC0700X Psychologist Clinical | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2024-04-24 |