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Organization
PROGRESSIVE BEHAVIORAL HEALTH, PLLC
Active
Organization
PROGRESSIVE BEHAVIORAL HEALTH, PLLC
Active
Other names
LifeStance Health
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN PARDO (CHIEF LEGAL OFFICER)
(206) 399-1493
Entity
Organization
Contact information
Practice address
308 S FRIENDSWOOD DR STE 200, FRIENDSWOOD, TX 77546-3989
(844) 824-8775
(281) 648-2200
Mailing address
308 S FRIENDSWOOD DR STE 200, FRIENDSWOOD, TX 77546-3989
(844) 824-8775
(281) 648-2200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2114720-01
—
TX
Enumeration date
09/18/2007
Last updated
04/25/2024
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