Provider Demographics
NPI:1497452684
Name:PRINCIPLES COUNSELING GROUP, LLC
Entity Type:Organization
Organization Name:PRINCIPLES COUNSELING GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TREYE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMHC, NCC, ACS
Authorized Official - Phone:319-775-5107
Mailing Address - Street 1:PO BOX 391
Mailing Address - Street 2:
Mailing Address - City:ALBURNETT
Mailing Address - State:IA
Mailing Address - Zip Code:52202-0391
Mailing Address - Country:US
Mailing Address - Phone:319-775-5107
Mailing Address - Fax:
Practice Address - Street 1:2635 LYNN DR
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IA
Practice Address - Zip Code:52302-1163
Practice Address - Country:US
Practice Address - Phone:641-691-3917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1912486432OtherNPI