OrganizationActive
Lifestance Health - Vermont, LLC Dba Lifestance Health
NPI 1528998028 · Behavioral Neurology & Neuropsychiatry Physician · Williston, VT
Provider details
- NPI number
- 1528998028
- Entity type
- Organization
- Primary specialty
- Behavioral Neurology & Neuropsychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ryan Pardo, Chief Legal Officer(425) 279-8500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Practice location
300 Interstate Corporate Ctr
Williston, VT 05495-7626
Phone: (253) 346-0399
Approximate (ZIP-level) locationGet directions
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Registry dates
- Enumerated
- 2026-05-19
- Last updated
- 2026-05-19
- Certified
- 2026-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.