NPI 1144025149

Lifestance Health Group INC.

Organisation Psychoanalysis Psychologist Oak Park, IL

Practice location

Address: 1010 Lake St STE 110, Oak Park, IL 60301-1106
Phone: (855) 521-2041
Mailing address: 825 North Christiana Avenue Harbor Light - Unit 353, Chicago, IL 60651

Authorised official

Name: Ryan Pardo
Title: Chief Attorney
Phone: (480) 701-9873

Registered specialties

Psychoanalysis Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TP0814X

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Registry record

NPI: 1144025149
Entity type: Organization
NPI issued: 14 Feb 2025
Record last updated: 14 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.