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

Providence Living LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1730562711

Providence Living LLC is an Addiction (Substance Use Disorder) Counselor in Media, Pennsylvania. Works from 4 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2015
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

280 N Providence Rd Ste 2
Media, PA 19063-3525
Phone: (484) 445-4145
Fax: (888) 373-9844
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1188 Bishop St Ste 1008, Honolulu, HI 96813-3304 — (808) 445-6780
  • 896 Beacon St Ste A, Boston, MA 02215-3033 — (617) 314-7544
  • 1528 Walnut St Ste 1410, Philadelphia, PA 19102-3610 — (484) 445-4145

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 237095 (PA)
Mental Health Counselor Taxonomy 101YM0800X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X · Licence 237095 (PA)

Record details

NPI number1730562711
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Heran — Ceo · (484) 445-4145
Other names Providence Treatment; Providence Treatment; Providence Treatment
NPI enumeratedJuly 8, 2015
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025
Mailing address280 N Providence Rd Ste 2, Media, PA 19063-3525

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