| Lifestance Health | |
|
777 29th St Ste 500 Boulder CO 80303-2357 | |
| (970) 310-3406 | |
| Not Available |
| Full Name | Lifestance Health |
|---|---|
| Speciality | Counselor - Professional |
| Location | 777 29th St Ste 500, Boulder, Colorado |
| Authorized Official Name and Position | Elizabeth Rodriguez (CREDENTIALING) |
| Authorized Official Contact | 2533460386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestance Health 215 W Oak St Fl 4 Fort Collins CO 80521-2734 Ph: (970) 310-3406 | Lifestance Health 777 29th St Ste 500 Boulder CO 80303-2357 Ph: (970) 310-3406 |
| NPI Number | 1104405562 |
|---|---|
| Provider Enumeration Date | 04/05/2021 |
| Last Update Date | 11/17/2023 |
| Certification Date | 10/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104405562 | NPI | - | NPPES |
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