| Organization Name: | PROVIDERS FOR HEALTHY LIVING |
| NPI Number: | 1083905830 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MATTHEW LOWE (PSYCHIATRIST) |
| Mailing Address: | 3931 Trueman Blvd Hilliard |
| State: | OH US |
| Postal Code: | 430262495 |
| Phone Number: | 6146643595 |
| Fax Number: | 6149293615 |
| NPI Enumeration Date: | 04/27/2011 |
| NPI Last Update Date: | 04/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |