Principles Living LLC
Counselor, Mental Health in Wauwatosa, WI. Organization (NPI-2).
NPI number1174473151
StatusActive
Last updated in NPPESJan 30, 2026
Details
- NPI
- 1174473151
- Entity type
- Organization (NPI-2)
- Legal business name
- Principles Living LLC
- Organization subpart
- No
- Enumeration date
- Jan 30, 2026
- Certification date
- Jan 30, 2026
- Last updated
- Jan 30, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
10721 W Capitol Dr Ste G0Wauwatosa, WI 53222-1210
Phone 414-627-9049
Mailing address
10721 W Capitol Dr Ste G0Wauwatosa, WI 53222-1210
Phone 414-627-9049
Authorized official
Demonte Williams
Director
2514775676
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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