Healthcare Provider Details

I. General information

NPI: 1265916563
Provider Name (Legal Business Name): MOTIV8 INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2018
Last Update Date: 09/02/2025
Certification Date: 01/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 S BERRY RD STE 200
NORMAN OK
73072-7480
US

IV. Provider business mailing address

3100 S BERRY RD STE 200
NORMAN OK
73072-7480
US

V. Phone/Fax

Practice location:
  • Phone: 405-615-2919
  • Fax:
Mailing address:
  • Phone: 405-615-2919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SCARLETT BAKER TAGUE
Title or Position: PRESIDENT
Credential: LPC
Phone: 405-615-2919