| Lifestance Health | |
|
810 Bestgate Rd Ste 325 Annapolis MD 21401-3648 | |
| (443) 906-3506 | |
| (443) 782-2342 |
| Full Name | Lifestance Health |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 810 Bestgate Rd Ste 325, Annapolis, Maryland |
| Authorized Official Name and Position | Ryan Pardo (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 2063991493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestance Health 1511 Ritchie Hwy Ste 202 Arnold MD 21012-2410 Ph: (410) 757-2077 | Lifestance Health 810 Bestgate Rd Ste 325 Annapolis MD 21401-3648 Ph: (443) 906-3506 |
| NPI Number | 1649906496 |
|---|---|
| Provider Enumeration Date | 07/25/2022 |
| Last Update Date | 06/28/2023 |
| Certification Date | 06/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649906496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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