Provider Demographics
NPI:1508518127
Name:NEXT LEVEL COUNSELING AND CONSULTATION SERVICES LLC
Entity Type:Organization
Organization Name:NEXT LEVEL COUNSELING AND CONSULTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH PROVIDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:NICHOLE
Authorized Official - Last Name:BETHEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:757-816-2722
Mailing Address - Street 1:139 AREY CT
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-4370
Mailing Address - Country:US
Mailing Address - Phone:757-816-2722
Mailing Address - Fax:
Practice Address - Street 1:139 AREY CT
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-4370
Practice Address - Country:US
Practice Address - Phone:757-816-2722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-25
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty