Lifestance Health - Idaho, Pc Dba Lifestance Health
Counselor Clinic
950 W Bannock St Ste 1100, Boise
Idaho, 83702-6140
253-346-0399 Maps & DirectionsLifestance Health - Idaho, Pc Dba Lifestance Health is a Counselor Clinic in Boise, Idaho. It is located at 950 W Bannock St Ste 1100, Boise, ID and its contact number is 253-346-0399. The authorized person for Lifestance Health - Idaho, Pc Dba Lifestance Health is Ryan Pardo
who is Chief Legal Officer of the clinic and his/her contact number is 425-279-8500.
Lifestance Health - Idaho, Pc Dba Lifestance Health Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Lifestance Health - Idaho, Pc Dba Lifestance Health Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Lifestance Health - Idaho, Pc Dba Lifestance Health |
| Specialization: | Counselor |
| Clinic Address: | 950 W Bannock St Ste 1100, Boise,
Idaho, 83702-6140 |
| Phone: | 253-346-0399 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Ryan Pardo |
| Position: | Chief Legal Officer |
| Contact Number: | 425-279-8500 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Lifestance Health - Idaho, Pc Dba Lifestance Health clinic are as mentioned below.
| NPI Number: | 1407787336 |
| NPI Enumeration Date: | 28 May, 2026 |
| NPI Last Update On: | 28 May, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lifestance Health - Idaho, Pc Dba Lifestance Health are as mentioned below.
| Specialization | License Number | State | Status | |
| Behavioral Neurology & Neuropsychiatry | | | Primary | |
| Counselor | | | Secondary | |
| Mental Health | | | Secondary | |
| Psychologist | | | Secondary | |
| Social Worker | | | Secondary | |
| Clinical | | | Secondary | |
| Marriage & Family Therapist | | | Secondary | |
| Addiction Medicine | | | Secondary | |
| Psych/Mental Health | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lifestance Health - Idaho, Pc Dba Lifestance Health
4800 N Scottsdale Rd Ste 2500,
Scottsdale, Arizona |
| Zip: | 85251-7630 |
| Phone Number: | -- |
Patients can reach Lifestance Health - Idaho, Pc Dba Lifestance Health at
950 W Bannock St Ste 1100, Boise, Idaho or can
call to book an appointment on 253-346-0399.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.