Healthcare Provider Details

I. General information

NPI: 1962310573
Provider Name (Legal Business Name): MOTIVATIONAL MENTAL HEALTH AND WELLNESS, A PROFESSIONAL NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 W SHAW AVE STE 123
FRESNO CA
93711-3412
US

IV. Provider business mailing address

2350 W SHAW AVE STE 123
FRESNO CA
93711-3412
US

V. Phone/Fax

Practice location:
  • Phone: 559-400-3577
  • Fax:
Mailing address:
  • Phone: 559-400-3577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MISS LAUREL NICOLE KEPNER
Title or Position: CEO, OWNER, DIRECTOR, PROVIDER
Credential: PMHNP-BC
Phone: 559-400-3577