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Organization

LIFESTANCE HEALTH - NEW MEXICO, LLC DBA LIFESTANCE HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN PARDO (CHIEF LEGAL OFFICER)
(425) 279-8500
Entity
Organization

Contact information

Practice address
100 SUN AVE NE STE 650, ALBUQUERQUE, NM 87109-4670
(253) 346-0399
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
103T00000X
Psychologist
103TC1900X
Counseling Psychologist
104100000X
Social Worker
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary

Other

Enumeration date
05/28/2026
Last updated
05/28/2026
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