Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edgewood Clinical Services, PC

Organization Mental Health Counselor · NPI 1295914646

Edgewood Clinical Services, PC is a Mental Health Counselor in Naperville, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
6
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2948 Artesian Rd Ste 112
Naperville, IL 60564-8559
Phone: (630) 428-7890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X · Licence 149-010253 (IL)
Clinical Social Worker Taxonomy 1041C0700X
Behavioral Neurology & Neuropsychiatry Physician Taxonomy 2084B0040X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1295914646
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Pardo — Chief Legal Officer · (206) 399-1493
Other names Lifestance
NPI enumeratedNovember 1, 2007
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024
Mailing address4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630

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