| Lifestance Health | |
|
12303 Airport Way Ste 125 Broomfield CO 80021-2729 | |
| (970) 310-3406 | |
| Not Available |
| Full Name | Lifestance Health |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12303 Airport Way Ste 125, Broomfield, 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 |
|---|---|
| Lifestance Health 215 W Oak St Fl 4 Fort Collins CO 80521-2734 Ph: (970) 310-3406 | Lifestance Health 12303 Airport Way Ste 125 Broomfield CO 80021-2729 Ph: (970) 310-3406 |
| NPI Number | 1427633015 |
|---|---|
| Provider Enumeration Date | 03/15/2021 |
| Last Update Date | 04/23/2024 |
| Certification Date | 04/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427633015 | NPI | - | NPPES |
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