Organization · Type 2 NPI

Lifestance Health - Idaho, PC dba Lifestance Health

Behavioral Neurology & Neuropsychiatry Physician · Boise, ID

NPI number 1407787336 Active

Practice location

950 W Bannock St Ste 1100
Boise, ID 83702-6140

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Psychologist 103T00000XNone listed
Social Worker 104100000XNone listed
Clinical Social Worker 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone 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 1407787336

Lifestance Health - Idaho, PC dba Lifestance Health's National Provider Identifier is 1407787336, issued on May 28, 2026. The primary taxonomy on file is Behavioral Neurology & Neuropsychiatry Physician (2084B0040X), and the practice location is in Boise, ID. The record was last updated on Sep 25, 2026.