| Lifestance Health Group Inc. | |
|
1010 Lake St Ste 110 Oak Park IL 60301-1106 | |
| (855) 521-2041 | |
| Not Available |
| Full Name | Lifestance Health Group Inc. |
|---|---|
| Speciality | Psychologist - Psychoanalysis |
| Location | 1010 Lake St Ste 110, Oak Park, Illinois |
| Authorized Official Name and Position | Ryan Pardo (CHIEF ATTORNEY) |
| Authorized Official Contact | 4807019873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestance Health Group Inc. 825 North Christiana Avenue Harbor Light - Unit 353 Chicago IL 60651 Ph: (320) 321-2842 | Lifestance Health Group Inc. 1010 Lake St Ste 110 Oak Park IL 60301-1106 Ph: (855) 521-2041 |
| NPI Number | 1144025149 |
|---|---|
| Provider Enumeration Date | 02/14/2025 |
| Last Update Date | 02/14/2025 |
| Certification Date | 02/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144025149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0814X | Psychologist - Psychoanalysis | (* (Not Available)) | Primary |
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