| Provident Vision Network, Inc. | |
|
5008 Hollow Ridge Ct Antioch CA 94531-8074 | |
| (925) 525-0600 | |
| (925) 525-0600 |
| Full Name | Provident Vision Network, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5008 Hollow Ridge Ct, Antioch, California |
| Authorized Official Name and Position | Rhonda Jones (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 9255650600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Provident Vision Network, Inc. 4464 Lone Tree Way Ste 604 Antioch CA 94531-7413 Ph: (925) 565-0600 | Provident Vision Network, Inc. 5008 Hollow Ridge Ct Antioch CA 94531-8074 Ph: (925) 525-0600 |
| NPI Number | 1891621892 |
|---|---|
| Provider Enumeration Date | 06/18/2026 |
| Last Update Date | 06/18/2026 |
| Certification Date | 06/18/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891621892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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