Healthcare Provider Details

I. General information

NPI: 1366067290
Provider Name (Legal Business Name): NEXT STEP HOLISTIC COUNSELING CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2020
Last Update Date: 06/11/2023
Certification Date: 06/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

284 HILLCREST ST
HARRISON MI
48625-9275
US

IV. Provider business mailing address

284 HILLCREST ST
HARRISON MI
48625-9275
US

V. Phone/Fax

Practice location:
  • Phone: 989-289-7761
  • Fax:
Mailing address:
  • Phone: 989-289-7761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: LYNN CHARPING
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 989-289-7761