| Lifestance Health - Idaho, Pc Dba Lifestance Health | |
|
950 W Bannock St Ste 1100 Boise ID 83702-6140 | |
| (253) 346-0399 | |
| Not Available |
| Full Name | Lifestance Health - Idaho, Pc Dba Lifestance Health |
|---|---|
| Speciality | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry |
| Location | 950 W Bannock St Ste 1100, Boise, Idaho |
| Authorized Official Name and Position | Ryan Pardo (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 4252798500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestance Health - Idaho, Pc Dba Lifestance Health 4800 N Scottsdale Rd Ste 2500 Scottsdale AZ 85251-7630 Ph: () - | Lifestance Health - Idaho, Pc Dba Lifestance Health 950 W Bannock St Ste 1100 Boise ID 83702-6140 Ph: (253) 346-0399 |
| NPI Number | 1407787336 |
|---|---|
| Provider Enumeration Date | 05/28/2026 |
| Last Update Date | 05/28/2026 |
| Certification Date | 05/19/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407787336 | NPI | - | NPPES |
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