Healthcare Provider Details

I. General information

NPI: 1972428738
Provider Name (Legal Business Name): NEXT LEVEL COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6398 JERSEY GOLD RD
KEITHVILLE LA
71047-7956
US

IV. Provider business mailing address

6398 JERSEY GOLD RD
KEITHVILLE LA
71047-7956
US

V. Phone/Fax

Practice location:
  • Phone: 985-236-9625
  • Fax: 985-236-9624
Mailing address:
  • Phone: 985-236-9624
  • Fax: 985-236-9624

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: TYRA COOPER
Title or Position: CEO
Credential: LPC-S
Phone: 318-532-1273