Organization
PSYCHOLOGICAL & BEHAVIORAL CONSULTANTS, LLC
Active
Other names
LifeStance Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN PARDO (CHIEF LEGAL OFFICER)
(425) 279-8500
Entity
Organization
Contact information
Practice address
25101 CHAGRIN BLVD STE 100, BEACHWOOD, OH 44122-5694
(216) 468-5000
(216) 456-8128
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(216) 468-5000
(216) 456-8128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/18/2006
Last updated
11/04/2024
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