Providence Counseling, LLC
NPI #1114717410 in Dedham, Massachusetts
Provider Information
- NPI Number
- 1114717410
- Entity Type
- Organization
- Organization Name
- Providence Counseling, LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- May 9, 2025
- Last Updated
- May 15, 2025
Practice Location
- Address
- 920 PROVIDENCE HWY
- City
- Dedham
- State
- Massachusetts
- ZIP Code
- 02026
- Phone
- (617) 987-4187
Authorized Official
- Name
- STANISLAV SEVOSTYANOV
- Title
- OWNER/THERAPIST
- Phone
- (617) 987-4187
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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