Organization · Type 2 NPI

Lifestance Health - North Dakota, PC dba Lifestance Health

Behavioral Neurology & Neuropsychiatry Physician · Fargo, ND

NPI number 1538090303 Active

Practice location

3523 45th St S Ste 100
Fargo, ND 58104-8962

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Clinical Psychologist 103TC0700XNone listed
Counseling Psychologist 103TC1900XNone 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.

13 other providers at this address

About NPI 1538090303

Lifestance Health - North Dakota, PC dba Lifestance Health's National Provider Identifier is 1538090303, issued on May 28, 2026. The primary taxonomy on file is Behavioral Neurology & Neuropsychiatry Physician (2084B0040X), and the practice location is in Fargo, ND. The record was last updated on Sep 25, 2026.