Providence Living Llc
Specialty details in registry · Media, PA
At a glance
280 N Providence Rd Ste 2, Media, PA 19063-3525
NPPES record updated Aug 25, 2025. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
280 N Providence Rd Ste 2Media, PA 19063-3525
Additional reported practice locations
896 Beacon St Ste ABoston, MA 022153033
Phone: 6173147544 1188 Bishop St Ste 1008
Honolulu, HI 968133304
Phone: 8084456780 1528 Walnut St Ste 1410
Philadelphia, PA 191023610
Phone: 4844454145
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QR0405X
- Enumeration date
- Jul 8, 2015
- Record updated
- Aug 25, 2025
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
101YA0400X
License reported: 237095 PA
Mental Health Counselor
101YM0800X
Specialty details in registry
261QM0850X
Specialty details in registry
261QR0405X · Primary
Specialty details in registry
324500000X
License reported: 237095 PA
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
280 N Providence Rd Ste 2Media, PA 19063-3525
- Phone
- (484) 445-4145
- Fax
- (888) 373-9844
Mailing address
280 N PROVIDENCE RD STE 2MEDIA, PA 190633525
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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