Healthcare Provider Details

I. General information

NPI: 1154231686
Provider Name (Legal Business Name): A NEW LEAF COUNSELING PRACTICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1361 BRANCHWOOD CIR APT 202
NAPERVILLE IL
60563-4107
US

IV. Provider business mailing address

1361 BRANCHWOOD CIR APT 202
NAPERVILLE IL
60563-4107
US

V. Phone/Fax

Practice location:
  • Phone: 708-600-7022
  • Fax: 630-982-8277
Mailing address:
  • Phone: 708-600-7022
  • Fax: 630-982-8277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: THREASA JEAN KLUEVER
Title or Position: CO-OWNER, CLINICAL THERAPIST
Credential: LCSW
Phone: 708-600-7022