Healthcare Provider Details

I. General information

NPI: 1336926096
Provider Name (Legal Business Name): NEXT GENERATION COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2023
Last Update Date: 09/14/2023
Certification Date: 09/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6127 SLEIGHT RD
BATH MI
48808-9486
US

IV. Provider business mailing address

6127 SLEIGHT RD
BATH MI
48808-9486
US

V. Phone/Fax

Practice location:
  • Phone: 810-247-8118
  • Fax:
Mailing address:
  • Phone: 810-247-8118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: MR. THOMAS J KLEIN
Title or Position: OWNER/COUNSELOR
Credential: LPC
Phone: 810-247-8118