Lifestance Health

NPI #1710725544 in Maitland, Florida

Provider Information

NPI Number: 1710725544
Entity Type: Organization
Organization Name: Lifestance Health
Primary Specialty: Behavior Technician
Enumeration Date: Jul 16, 2024
Last Updated: Jul 16, 2024

Practice Location

Address: 260 LOOKOUT PL STE 101
City: Maitland
State: Florida
ZIP Code: 32751-4485
Phone: (407) 537-9450

Authorized Official

Name: MS. DENISE EUBANKS
Title: DIRECTOR OF OPERATIONS
Phone: (407) 579-8177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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