Organization
PROVIDENCE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANISLAV SEVOSTYANOV (OWNER/THERAPIST)
(617) 987-4187
Entity
Organization
Contact information
Practice address
920 PROVIDENCE HWY, DEDHAM, MA 02026
(617) 987-4187
(617) 684-6374
Mailing address
920 PROVIDENCE HWY, DEDHAM, MA 02026-6809
(617) 987-4187
(617) 684-6374
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
05/15/2025
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