| Lifestance Health | |
|
1630 Dry Creek Dr Ste 100b Longmont CO 80503-6405 | |
| (970) 310-3406 | |
| (888) 965-4615 |
| Full Name | Lifestance Health |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1630 Dry Creek Dr Ste 100b, Longmont, 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 1630 Dry Creek Dr Ste 100b Longmont CO 80503-6405 Ph: (970) 310-3406 |
| NPI Number | 1952929002 |
|---|---|
| Provider Enumeration Date | 07/06/2020 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952929002 | NPI | - | NPPES |
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