| Lifestance Health | |
|
260 Lookout Pl Ste 101 Maitland FL 32751-4485 | |
| (407) 537-9450 | |
| Not Available |
| Full Name | Lifestance Health |
|---|---|
| Speciality | Behavior Technician |
| Location | 260 Lookout Pl Ste 101, Maitland, Florida |
| Authorized Official Name and Position | Denise Eubanks (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 4075798177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestance Health 260 Lookout Pl Ste 101 Maitland FL 32751-4485 Ph: (407) 537-9450 | Lifestance Health 260 Lookout Pl Ste 101 Maitland FL 32751-4485 Ph: (407) 537-9450 |
| NPI Number | 1710725544 |
|---|---|
| Provider Enumeration Date | 07/16/2024 |
| Last Update Date | 07/16/2024 |
| Certification Date | 07/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710725544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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