Organization
PERSONAL RECOVERY NETWORK LLC
Active
Organization
PERSONAL RECOVERY NETWORK LLC
Active
Other names
LifeStance Health
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN PARDO (LEGAL CHIEF OFFICER)
(206) 399-1493
Entity
Organization
Contact information
Practice address
250 CORPORATE CENTER CT, STOCKBRIDGE, GA 30281
(770) 389-8100
(770) 389-3030
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(253) 346-0392
(770) 389-3030
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QA0005X
Ambulatory Family Planning Facility
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/08/2011
Last updated
01/18/2025
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