Organization
PSYCHOLOGY SPECIALISTS LTD
Active
Organization
PSYCHOLOGY SPECIALISTS LTD
Active
Parent organization
PSYCHOLOGY SPECIALISTS LTD
Other names
LifeStance Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
PSYCHOLOGY SPECIALISTS LTD
Authorized official
MELANIE GRAY (BILLING SPECIALISTS)
(253) 527-1571
Entity
Organization
Contact information
Practice address
801 S RANCHO DR STE A2, LAS VEGAS, NV 89106-3870
(702) 805-5360
(309) 663-2995
Mailing address
PO BOX 8204, PASADENA, CA 91109-8204
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY0777
LICENSE
NV
Enumeration date
05/21/2019
Last updated
01/25/2023
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