Healthcare Provider Details
I. General information
NPI: 1053207977
Provider Name (Legal Business Name): NEXT CHAPTER WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/16/2025
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
93 SUGAR MAPLE RD
LEVITTOWN NY
11756-2238
US
IV. Provider business mailing address
93 SUGAR MAPLE RD
LEVITTOWN NY
11756-2238
US
V. Phone/Fax
- Phone: 516-360-0907
- Fax:
- Phone: 516-360-0907
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TRICIA
KLEIN
Title or Position: OWNER/CLINICIAN
Credential: LMHC
Phone: 516-360-0907