<Unavail>

LBN: Providence Living Llc
<Unavail> is an health care organization with primary practice located at 1528 Walnut St Ste 1410 , Philadelphia PA 19102-3610. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Providence Living Llc can be contacted via phone (484) 445-4145, or through Heran, William via phone (484) 445-4145.

Contact Information

Primary practice address
1528 Walnut St Ste 1410 Philadelphia PA 19102-3610
Phone: (484) 445-4145
Fax: (888) 373-9844
Website:
Map and Directions
Authorized official contact:
Name: Heran, William PHD, LCSW
Phone: (484) 445-4145

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1962965145
LBN Legal business name Providence Living Llc
DBA Doing business as <Unavail>
Authorized official Heran, William PHD, LCSW
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2019
Last updated Aug 25th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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