Organization
CARMEL PSYCHOLOGICAL HEALTH, PC
Active
Other names
LifeStance Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN PARDO (CHIEF LEGAL OFFICER)
(206) 399-1493
Entity
Organization
Contact information
Practice address
667 STONELEIGH AVE STE 202, CARMEL, NY 10512-2455
(845) 279-5908
(845) 622-5055
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(480) 524-0990
(845) 622-5055
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05911211
—
NY
Enumeration date
08/23/2006
Last updated
03/16/2026
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