Organization
WESTERN PSYCHOLOGICAL AND COUNSELING SERVICES LLC
Active
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
2420 S UNION AVE, TACOMA, WA 98405-1322
(253) 752-7320
(480) 888-9679
Mailing address
PO BOX 8550, PASADENA, CA 91109-8550
(425) 279-8500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TF0200X
Forensic Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164936
—
OR
Enumeration date
09/26/2006
Last updated
09/12/2024
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