Provider Demographics
NPI:1619338217
Name:TRUE NORTH COUNSELING
Entity Type:Organization
Organization Name:TRUE NORTH COUNSELING
Other - Org Name:HAVEN PSYCHOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:ESTES
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:309-738-3981
Mailing Address - Street 1:2501 IOWA ST
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52803-2635
Mailing Address - Country:US
Mailing Address - Phone:309-738-3981
Mailing Address - Fax:
Practice Address - Street 1:2501 IOWA ST
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52803-2635
Practice Address - Country:US
Practice Address - Phone:309-738-3981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-10
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.006407251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health