Organization · Type 2 NPI

Lifestance Health - Wyoming, LLC dba Lifestance Health

Behavioral Neurology & Neuropsychiatry Physician · Cheyenne, WY

NPI number 1306776554 Active

Practice location

2232 Dell Range Blvd Ste 318
Cheyenne, WY 82009-4902

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
Psychologist 103T00000XNone listed
Social Worker 104100000XNone listed
Clinical Social Worker 1041C0700XNone listed
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401XNone listed
Behavioral Neurology & Neuropsychiatry Physician Primary 2084B0040XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Behavioral Neurology & Neuropsychiatry Physician: Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.

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About NPI 1306776554

Lifestance Health - Wyoming, LLC dba Lifestance Health's National Provider Identifier is 1306776554, issued on May 20, 2026. The primary taxonomy on file is Behavioral Neurology & Neuropsychiatry Physician (2084B0040X), and the practice location is in Cheyenne, WY. The record was last updated on Sep 24, 2026.