Lifestance Health | |
777 29th St Ste 500 Boulder CO 80303-2357 | |
(970) 310-3406 | |
Not Available |
Full Name | Lifestance Health |
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Speciality | Counselor - Mental Health |
Location | 777 29th St Ste 500, Boulder, Colorado |
Authorized Official Name and Position | Ryan Pardo (CHIEF LEGAL OFFICER) |
Authorized Official Contact | 2063991493 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lifestance Health 215 W Oak St Fl 4 Fort Collins CO 80521-2734 Ph: (970) 310-3406 | Lifestance Health 777 29th St Ste 500 Boulder CO 80303-2357 Ph: (970) 310-3406 |
NPI Number | 1104405562 |
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Provider Enumeration Date | 04/05/2021 |
Last Update Date | 04/23/2024 |
Certification Date | 04/23/2024 |
Identifier | Type | State | Issuer |
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1104405562 | NPI | - | NPPES |
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