# LIFESTANCE HEALTH - IOWA, PC DBA LIFESTANCE HEALTH, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083544530
- **Authorized official:** RYAN PARDO (CHIEF LEGAL OFFICER)
- **Authorized official phone:** (206) 399-1493

## Contact information

- **Practice address:** 2323 GRAND AVE, DES MOINES, IA 50312-5307
- **Practice address phone:** (515) 897-3952
- **Mailing address:** 4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
- **Mailing address phone:** (971) 719-0084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103T00000X | Psychologist | — | — | — |
| 104100000X | Social Worker | — | — | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | — | Yes |
| 2084N0400X | Neurology Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/19/2026
- **Last updated:** 09/24/2026