Organization
NEXT LEVEL THERAPY AND SUPERVISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKOLE S GREEN LCPC (OWNER)
(773) 517-1889
Entity
Organization
Contact information
Practice address
322 S MICHIGAN AVE, CHICAGO, IL 60604-4200
(773) 517-1889
Mailing address
901 LAKE ST UNIT 3343, OAK PARK, IL 60303-1069
(773) 517-1889
(773) 517-1889
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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