OrganizationActive
Lifestance Health - Wyoming, LLC Dba Lifestance Health
NPI 1306776554 · Behavioral Neurology & Neuropsychiatry Physician · Cheyenne, WY
Provider details
- NPI number
- 1306776554
- Entity type
- Organization
- Primary specialty
- Behavioral Neurology & Neuropsychiatry PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Ryan Pardo, Chief Legal Officer
Practice location
2232 Dell Range Blvd Ste 318
Cheyenne, WY 82009-4902
Phone: (253) 346-0399
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Registry dates
- Enumerated
- 2026-05-20
- Last updated
- 2026-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.