Healthcare Provider Details

I. General information

NPI: 1215889829
Provider Name (Legal Business Name): MOTIVATED AND SUCCESSFUL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 KINGS HWY STE 1A
MILFORD CT
06460-8023
US

IV. Provider business mailing address

123 KINGS HWY STE 1A
MILFORD CT
06460-8023
US

V. Phone/Fax

Practice location:
  • Phone: 845-377-6082
  • Fax:
Mailing address:
  • Phone: 203-693-0486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateNULL

VIII. Authorized Official

Name: TRACEY SAXON
Title or Position: MANAGING MEMBER
Credential: NBC-HWC, RCP, CD
Phone: 203-693-0486