Organization · Type 2 NPI

Provident Vision Network, Inc.

Mental Health Counselor · Antioch, CA

NPI number 1891621892 Active

Practice location

5008 Hollow Ridge Ct
Antioch, CA 94531-8074

Call (925) 525-0600 Map

Fax (925) 525-0600

Mailing address

4464 Lone Tree Way Ste 604
Antioch, CA 94531-7413

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

5 other providers at this address

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About NPI 1891621892

Provident Vision Network, Inc.'s National Provider Identifier is 1891621892, issued on Jun 18, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Antioch, CA. The record was last updated on Jun 18, 2026.