Provider Demographics
NPI:1912551490
Name:NEXT LEVEL COUNSELING AND WELLNESS LLC
Entity Type:Organization
Organization Name:NEXT LEVEL COUNSELING AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:KUNASH
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:239-233-5818
Mailing Address - Street 1:1611 POPLAR LN
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:IL
Mailing Address - Zip Code:60098-2793
Mailing Address - Country:US
Mailing Address - Phone:239-233-5818
Mailing Address - Fax:
Practice Address - Street 1:226 W JUDD ST
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:IL
Practice Address - Zip Code:60098-3158
Practice Address - Country:US
Practice Address - Phone:239-233-5818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-01
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)