Organization
PSYCHIATRIC AND COUNSELING ASSOCIATES LLC
Active
Organization
PSYCHIATRIC AND COUNSELING ASSOCIATES LLC
Active
Other names
LifeStance Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN B PARDO (CHIEF LEGAL OFFICER)
(425) 279-8500
Entity
Organization
Contact information
Practice address
8400 W 110TH ST., STE 100, OVERLAND PARK, KS 66210-2307
(913) 327-7505
(216) 456-8128
Mailing address
25101 CHAGRIN BLVD, STE 100, BEACHWOOD, OH 44122-5694
(253) 346-0392
(216) 456-8128
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
Other
Enumeration date
11/06/2006
Last updated
10/03/2023
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