Lifestance Health is a Counselor Clinic in Bloomington, Illinois. It is located at 808 S Eldorado Rd Ste 102, Bloomington, IL and its contact number is 888-428-7890. The authorized person for Lifestance Health is Adam Russo
who is Vp Of Operations of the clinic and his/her contact number is 888-428-7890. The primary license number for Lifestance Health is 071-006198 (Clinical) in Illinois. 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 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
Specialization:
Counselor
Clinic Address:
808 S Eldorado Rd Ste 102, Bloomington, Illinois, 61704-6075
Phone:
888-428-7890
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:
Adam Russo
Position:
Vp Of Operations
Contact Number:
888-428-7890
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 clinic are as mentioned below.
NPI Number:
1053368605
NPI Enumeration Date:
28 May, 2006
NPI Last Update On:
26 Sep, 2022
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 are as mentioned below.
Specialization
License Number
State
Status
Clinical
071-006198
Illinois
Primary
Counselor
180-005747
Illinois
Secondary
Counselor
180-005332
Illinois
Secondary
Clinical
071-005708
Illinois
Secondary
Clinical
071-006980
Illinois
Secondary
Clinical
149011166
Illinois
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 808 S Eldorado Rd Ste 102, Bloomington, Illinois
Zip:
61704-6075
Phone Number:
888-428-7890
Patients can reach Lifestance Health at 808 S Eldorado Rd Ste 102, Bloomington, Illinois or can call to book an appointment on 888-428-7890. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.