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, Psych/Mental Health | |
Enumeration Date | 2023-11-16 |
Last Update Date | 2024-04-24 |