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Organization

LIFESTANCE HEALTH - CONNECTICUT, PC DBA LIFESTANCE HEALTH

Active
Organization subpart
No

Provider details

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

Contact information

Practice address
15 N MAIN ST STE 100, WEST HARTFORD, CT 06107-1957
(253) 346-0399
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(971) 719-0084

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
05/19/2026
Last updated
05/19/2026
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