Organization
WESTERN PSYCHOLOGICAL AND COUNSELING SERVICES LLC
Active
Other names
LifeStance Health
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN PARDO (CHIEF LEGAL OFFICER)
(425) 279-8500
Entity
Organization
Contact information
Practice address
7507 NE 51ST ST, VANCOUVER, WA 98662-6007
(360) 906-1190
(360) 906-1193
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(602) 858-0720
(702) 977-7488
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
11/18/2011
Last updated
03/21/2024
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