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

Providence Living LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1962965145

Providence Living LLC is an Addiction (Substance Use Disorder) Counselor in Philadelphia, Pennsylvania. Registered with an NPI since 2019.

In the registry since
2019
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

1528 Walnut St Ste 1410
Philadelphia, PA 19102-3610
Phone: (484) 445-4145
Fax: (888) 373-9844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1962965145
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Heran — Ceo · (484) 445-4145
Other names Providence Treatment; Providence Treatment
NPI enumeratedApril 13, 2019
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025
Mailing address1528 Walnut St Ste 1410, Philadelphia, PA 19102-3610

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