Provider Demographics
NPI:1508613670
Name:NEXT LEVEL UP COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:NEXT LEVEL UP COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JUANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARQUEZ-VILLEGAS
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:303-307-6233
Mailing Address - Street 1:3217 WISCONSIN AVE NW APT 2A
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3817
Mailing Address - Country:US
Mailing Address - Phone:301-307-6233
Mailing Address - Fax:
Practice Address - Street 1:3217 WISCONSIN AVE NW APT 2A
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3817
Practice Address - Country:US
Practice Address - Phone:301-307-6233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty