Healthcare Provider Details

I. General information

NPI: 1245679323
Provider Name (Legal Business Name): MOTIVATIONAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2013
Last Update Date: 06/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 HOSPITAL ST
AUGUSTA ME
04330-6657
US

IV. Provider business mailing address

71 HOSPITAL ST
AUGUSTA ME
04330-6657
US

V. Phone/Fax

Practice location:
  • Phone: 207-623-2279
  • Fax: 207-626-3403
Mailing address:
  • Phone: 207-626-3465
  • Fax: 207-626-3469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD WEISS
Title or Position: EXECUTIVE DIRECTOR
Credential: PH.D.
Phone: 207-626-3465