Organization
LANSING INSTITUTE OF BEHAVIORAL MEDICINE, PLLC
Active
Organization
LANSING INSTITUTE OF BEHAVIORAL MEDICINE, PLLC
Active
Other names
Lifestance Health, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA DORRENE CONRAD (CREDENTIALING COORDINATOR)
(517) 882-3732
Entity
Organization
Contact information
Practice address
3475 BELLE CHASE WAY, LANSING, MI 48911-4252
(517) 882-3732
(517) 882-3633
Mailing address
3475 BELLE CHASE WAY, LANSING, MI 48911-4252
(517) 882-3732
(517) 882-3633
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/16/2010
Last updated
12/09/2021
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