| Lifestance Health, Inc | |
|
3475 Belle Chase Way Lansing MI 48911-4252 | |
| (517) 882-3732 | |
| (517) 882-3633 |
| Full Name | Lifestance Health, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3475 Belle Chase Way, Lansing, Michigan |
| Authorized Official Name and Position | Kristina Dorrene Conrad (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 5178823732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestance Health, Inc 3475 Belle Chase Way Lansing MI 48911-4252 Ph: (517) 882-3732 | Lifestance Health, Inc 3475 Belle Chase Way Lansing MI 48911-4252 Ph: (517) 882-3732 |
| NPI Number | 1386954907 |
|---|---|
| Provider Enumeration Date | 10/16/2010 |
| Last Update Date | 12/09/2021 |
| Certification Date | 12/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386954907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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