Provider Demographics
NPI:1437485091
Name:NEXT LEVEL EDUCATIONAL SERVICES, LLC
Entity Type:Organization
Organization Name:NEXT LEVEL EDUCATIONAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EDUCATIONAL CONSULTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:D
Authorized Official - Last Name:ROBERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:703-731-2260
Mailing Address - Street 1:12647 GALVESTON CT STE 120
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20112-8673
Mailing Address - Country:US
Mailing Address - Phone:703-731-2260
Mailing Address - Fax:866-844-4356
Practice Address - Street 1:12032 BANK BEAVER CT
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20112-5510
Practice Address - Country:US
Practice Address - Phone:703-791-3636
Practice Address - Fax:866-844-4356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAPPS0600333101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty