| Lifestance Health | |
|
7900 Cass Ave Ste 200 Darien IL 60561-5073 | |
| (253) 346-0133 | |
| Not Available |
| Full Name | Lifestance Health |
|---|---|
| Speciality | Psychologist |
| Location | 7900 Cass Ave Ste 200, Darien, Illinois |
| Authorized Official Name and Position | Seretha Johnson (NATIONAL CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2533460133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestance Health 7900 Cass Ave Ste 200 Darien IL 60561-5073 Ph: () - | Lifestance Health 7900 Cass Ave Ste 200 Darien IL 60561-5073 Ph: (253) 346-0133 |
| NPI Number | 1164224127 |
|---|---|
| Provider Enumeration Date | 03/27/2025 |
| Last Update Date | 03/27/2025 |
| Certification Date | 03/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164224127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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