MID-ATLANTIC BEHAVIORAL HEALTH LLC NPI 1871719872

NPI Information

NPI: 1871719872
Provider Name: MID-ATLANTIC BEHAVIORAL HEALTH, LLC

Doing Business As: LIFESTANCE HEALTH

Classification: Psychologist - 103TM1800X
Entity Type: Organization

Specialization: Intellectual and Developmental Disabilities

Address:
910 S CHAPEL ST
SUITE 102
NEWARK, DE
ZIP 19713
Phone: (302) 224-1400
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MID-ATLANTIC BEHAVIORAL HEALTH, LLC is an intellectual and developmental disabilities in Newark, DE. MID-ATLANTIC BEHAVIORAL HEALTH, LLC NPI is 1871719872. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lifestance Health.

The provider's business location address is:

910 S CHAPEL ST
SUITE 102
NEWARK, DE
ZIP 19713-467
Phone: (302) 224-1400
Fax: (302) 224-1402

The provider's authorized official is Ryan Pardo .
The authorized official title is Chief Legal Officer and has the following contact phone number (206) 399-1493.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 1/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	101YM0800X	Counselor	Mental Health	No
3	103TC0700X	Psychologist	Clinical	No
4	103TF0000X	Psychologist	Family	No
5	103TF0200X	Psychologist	Forensic	No
6	103TP2701X	Psychologist	Group Psychotherapy	No
7	103TS0200X	Psychologist	School	No
8	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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