Lifestance

LBN: Edgewood Clinical Services, P.C.
Lifestance is an health care organization with primary practice located at 2948 Artesian Rd Ste 112 , Naperville IL 60564-8559. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Edgewood Clinical Services, P.C. can be contacted via phone (630) 428-7890, or through Pardo, Ryan via phone (206) 399-1493.

Contact Information

Primary practice address
2948 Artesian Rd Ste 112 Naperville IL 60564-8559
Phone: (630) 428-7890
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pardo, Ryan
Phone: (206) 399-1493

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149-010253 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry 2084B0040X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1295914646
LBN Legal business name Edgewood Clinical Services, P.C.
DBA Doing business as Lifestance
Authorized official Pardo, Ryan
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2007
Last updated Mar 6th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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