Provider Demographics
NPI:1316404940
Name:NEXT STAGE COUNSELING & WELLNESS, PLLC
Entity type:Organization
Organization Name:NEXT STAGE COUNSELING & WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAKIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROBERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPC, NCC
Authorized Official - Phone:832-483-9953
Mailing Address - Street 1:16151 CAIRNWAY DR STE 206
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-3555
Mailing Address - Country:US
Mailing Address - Phone:832-543-7255
Mailing Address - Fax:
Practice Address - Street 1:16151 CAIRNWAY DR STE 206
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-3555
Practice Address - Country:US
Practice Address - Phone:832-543-7255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-01
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty